Active NPI
Robbins Medical, P.C.
- Internal Medicine Physician
- Middletown, CT
National Provider Identifier
1184783102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ROBBINS MEDICAL, P.C.
- Practice address
- 85 Church St
Suite 600
Middletown, CT 06457-3647 - Phone
- (860) 347-5333
- Fax
- (860) 346-3517
- NPI assigned
- Dec 6, 2006
- 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
- Jacqueline Nardi
- Title
- Office Manager
- Phone
- (860) 347-5333
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 004748 | CT | |
| Family Medicine Physician | 207Q00000X | CT | ||
| Internal Medicine Physician | 207R00000X | CT | Primary | |
| Acute Care Nurse Practitioner | 363LA2100X | CT | ||
| Family Nurse Practitioner | 363LF0000X | CT |
Addresses
Primary practice location
85 Church St
Suite 600
Middletown, CT 06457-3647
Mailing address
85 Church St
Suite 600
Middletown, CT 06457-3647
Phone (860) 347-5333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4251253 | Medicaid | CT |
Other names 1
- Middlesex Medical Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
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 |
|---|---|---|---|
| 07D0982230 | Robbins Medical PC/Middlesex Med Assoc | Certificate of waiver | Jan 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
85 Church St
Ste 600
Middletown, CT 06457
Phone (860) 347-5333
85 Church St
Middletown, CT 06457
Phone (860) 344-8606
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Middletown, CT
- NPI 1932616299
-
- Internal Medicine Physician
- Middletown, CT
- NPI 1689770190
-
- Rheumatology Physician
- Middletown, CT
- NPI 1841265048
-
- Specialist
- Middletown, CT
- NPI 1467457663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386806400000",
"number": "1184783102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 CHURCH ST",
"address_2": "SUITE 600",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573647",
"telephone_number": "860-347-5333",
"fax_number": "860-346-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 CHURCH ST",
"address_2": "SUITE 600",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573647",
"telephone_number": "860-347-5333",
"fax_number": "860-346-3517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBBINS MEDICAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2013-12-12",
"status": "A",
"authorized_official_last_name": "NARDI",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "860-347-5333"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "CT",
"license": "004748",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CT",
"license": null,
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4251253",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Middlesex Medical Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.