NPIMap

Organization Active NPI

Middletown Medical PC

  • Cardiac Rehabilitation Clinic/Center
  • Middletown, NY
National Provider Identifier
1174201529
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
Legal business name
MIDDLETOWN MEDICAL PC
Practice address
111 Maltese Dr
Middletown, NY 10940-2141
Phone
(845) 342-4774
NPI assigned
Jul 6, 2023
Last updated
Jul 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDDLETOWN MEDICAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Rajan GulatiNPI 1275534000
Title
President
Phone
(845) 342-4774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC3500X
Cardiac Rehabilitation Clinic/Center 261QR0404X Primary

Addresses

Primary practice location

111 Maltese Dr
Middletown, NY 10940-2141

Mailing address

111 Maltese Dr
Middletown, NY 10940-2141
Phone (845) 342-4774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230907001387 NY Part B Supplier - Intensive Cardiac Rehabilitation 2567464308 Receives reassigned benefits from 5 practitioners
Practice locations: Middletown, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Chiropractic Pain Relief4 organizations share this tax ID, including this one
Part of
Chiropractic Pain Relief

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

36 North Rd
Bloomingburg, NY 12721

112 Tops Market Blvd
Ellenville, NY 12428
Phone (845) 647-6700

3433 US Highway 9W
Highland, NY 12528
Phone (845) 691-3654

1 Edgewater Dr
Middletown, NY 10940
Phone (845) 342-5511

111 Maltese Dr
Middletown, NY 10940

21 Edgewater Dr
Middletown, NY 10940

22 Grove St
Middletown, NY 10940
Phone (845) 343-0659

726 E Main St
Middletown, NY 10940
Phone (845) 342-1495

75 Maltese Dr
Middletown, NY 10940

505 State Route 208
Ste 10
Monroe, NY 10950
Phone (845) 782-6631

20 Walnut St
Ste A
Montgomery, NY 12549
Phone (845) 457-3979

32 Thompson Sq
Ste 5
Monticello, NY 12701
Phone (845) 794-1600

64 Jefferson St
#2
Monticello, NY 12701
Phone (845) 250-1115

193 S Plank Rd
Newburgh, NY 12550
Phone (845) 562-0956

59 Boniface Dr
Pine Bush, NY 12566
Phone (845) 744-4499

Practitioners & affiliated clinicians

Practitioners 303

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 303

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1174201529",
    "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": "109402141",
            "telephone_number": "845-342-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MALTESE DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402141",
            "telephone_number": "845-342-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN MEDICAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDDLETOWN MEDICAL PC",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "GULATI",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-342-4774"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "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 Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.