Middletown Community Health Center Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MIDDLETOWN COMMUNITY HEALTH CENTER INC

Practice address

140 Hammond Street
Port Jervis, NY 12771-2607

Phone

(845) 856-8450

Fax

(845) 343-5390

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Maloney

Title

Ceo

Phone

(845) 343-7614

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• United Community Health Center Other name

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1609055409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "address_2": "21 ORCHARD STREET",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-856-8450",
            "fax_number": "845-343-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HAMMOND STREET",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712607",
            "telephone_number": "845-856-8450",
            "fax_number": "845-343-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-343-7614",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355931",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Community Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tonya Martinez
• Ronny Mazza, RN
• Nancy McGeough Smith, REGISTERED NURSE
• Jill Catrin McLaughlin, FNP-C
• Michele M Doyle
• Melvina Arleen Miller, LPN
• Margaret Mitchell, NP
• Parviz R Mohassel, M.D.
• Moinuddin Ahmed
• Montefiore Medical Center

• Dentist in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.