Active NPI
Middletown Medical PC
- Specialist
- Middletown, NY
National Provider Identifier
1225435795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MIDDLETOWN MEDICAL PC
- Practice address
- 1219 Dolsontown Rd
Middletown, NY 10940-4749 - Phone
- (845) 344-1899
- NPI assigned
- Dec 1, 2014
- Last updated
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1219 Dolsontown Rd
Middletown, NY 10940-4749
Mailing address
111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774
National Provider Directory
National Provider DirectoryNPI 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": "1225435795",
"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": "1219 DOLSONTOWN RD",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109404749",
"telephone_number": "845-344-1899"
}
],
"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": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.