Active NPI
Middletown Medical PC
- Orthopaedic Surgery Physician
- Middletown, NY
National Provider Identifier
1134526601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- MIDDLETOWN MEDICAL PC
- Practice address
- 35 Maltese Dr
Middletown, NY 10940-2109 - Phone
- (845) 381-5705
- NPI assigned
- Dec 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Phillips
- Title
- Credentialing Specialist
- Phone
- (845) 344-4803
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
35 Maltese Dr
Middletown, NY 10940-2109
Mailing address
111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2124772 | Middletown Medical, PC | Certificate of waiver | Jan 24, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/BEHDAD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417392000000",
"number": "1134526601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MALTESE DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402115",
"telephone_number": "845-342-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MALTESE DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402109",
"telephone_number": "845-381-5705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDDLETOWN MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-01",
"last_updated": "2014-12-01",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "845-344-4803"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.