Middlesex Dialysis Center LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

0316 Issued in CT

Legal business name

MIDDLESEX DIALYSIS CENTER LLC

Doing business as

Middlesex Dialysis Center

Practice address

100 Main St
Ste a
Middletown, CT 06457-3422

Phone

(860) 346-5600

Fax

(860) 346-5700

NPI assigned

Feb 23, 2006

Organization subpart

No

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

Authorized official

Name

Samuel T Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Middlesex Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Listed as

DaVita PDI Middlesex Dialysis CenterCCN 072524

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Nov 15, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

22

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

CLIA laboratory certificates

Locations

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• David Joseph Miner, MD

  • Nephrology Physician
  • Middletown, CT
  • NPI 1225125933

  Dialysis facility

  Care Compare affiliation Name & address match
• Jarrod Post, MD

  • Nephrology Physician
  • Hartford, CT
  • NPI 1811096845

  Dialysis facility

  Care Compare affiliation Name & address match
• Thejas N Swamy, MD

  • Nephrology Physician
  • Middletown, CT
  • NPI 1790914547

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1386610053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L & C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "address_2": "STE A",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573422",
            "telephone_number": "860-346-5600",
            "fax_number": "860-346-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CT",
            "license": "0316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004209830",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middlesex Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Middlesex Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Middlesex Cardiology Associates, PC
• Middlesex Center for Advanced Orthopedic Surgery
• Middlesex Dental Care, LLC (Middlesex Dental Care)
• Middlesex Dermatology, LLC
• Middlesex Diabetes & Endocrinology
• Middlesex Endoscopy Center LLC
• Middlesex Eye Physicians P.C.
• Middlesex Eye Physicians, P.C.
• Middlesex Gastroenterology Associates, LLC
• Middlesex Health Services, Inc. (One MacDonough Place Assisted Living Community)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Middletown, CT
• Providers in Middletown, CT by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.