Organization Active NPI

Robbins Medical, P.C.

  • Internal Medicine Physician
  • Middletown, CT
National Provider Identifier
1184783102
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Dec 12, 2013

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)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 004748 CT
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X CT
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X CT Primary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X CT
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4251253MedicaidCT

Other names 1

  • Middlesex Medical Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050427000498 CT Part B Supplier - Clinic/Group Practice 6709825961 Receives reassigned benefits from 3 practitioners
Practice locations: Middletown, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0982230Robbins Medical PC/Middlesex Med Assoc85 Church Street, Middletown, CT 06457Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.