Individual provider Active NPI

Adam Seidner, M.D.

  • Family Medicine Physician
  • New London, CT
National Provider Identifier
1144208240
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
030901 Issued in CT
Practice address
325 Montauk Ave
New London, CT 06320-4724
Phone
(860) 344-6300
Fax
(860) 344-9249
NPI assigned
Jan 9, 2006
Last updated
Aug 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 030901 CT Primary
Occupational Medicine Physician 2083X0100X 030901 CT

Addresses

Primary practice location

325 Montauk Ave
New London, CT 06320-4724

Mailing address

90 S Main St
Middletown, CT 06457-3649
Phone (860) 344-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091218000328 CT Practitioner - Family Practice 4981744158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middlesex HospitalGroup PAC ID 5092611731, 231 clinicians

Practice addresses (Care Compare)

13 High St
Portland, CT 06480-1616
Phone (860) 358-6486

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-6486

90 S Main St
Middletown, CT 06457-3649
Phone (860) 358-4821

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
030901CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital Family Medicine CurrentSince Apr 1, 1989 Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients
Middlesex Hospital Current Accepting new patients
Middlesex Hospital Current Accepting new patients
Middlesex Hospital Family Medicine CurrentSince Apr 1, 1989 Accepting new patients
Middlesex Hospital Dba Family Practice Group East Hampton Family Medicine Past Accepting new patients

Locations

42 E High St
East Hampton, CT 06424
Phone (860) 344-6756

42 E High St
Ste 205
East Hampton, CT 06424
Phone (860) 358-3500

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

90 S Main St
Middletown, CT 06457
Phone (860) 358-6300

90 S Main St
Fl 1
Middletown, CT 06457

Interoperability endpoints

  • Direct secure messaging: aseidner18260@middlesexhealthprd.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1144208240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573649",
            "telephone_number": "860-344-6300",
            "fax_number": "860-344-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204724",
            "telephone_number": "860-344-6300",
            "fax_number": "860-344-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDNER",
        "first_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "030901",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CT",
            "license": "030901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.