Active NPI
Naseema Merchant, M.D.
- Pulmonary Disease Physician
- Middletown, CT
National Provider Identifier
1679556286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036246
- Practice address
- 80 S Main St
Middletown, CT 06457-3648 - Phone
- (860) 344-6878
- Fax
- (860) 344-6412
- NPI assigned
- Nov 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036246 | CT | |
| Pulmonary Disease Physician | 207RP1001X | 036246 | CT | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036246 | CT |
Addresses
Primary practice location
80 S Main St
Middletown, CT 06457-3648
Mailing address
80 S Main St
Middletown, CT 06457-3648
Phone (860) 358-6878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036246 | Other | CT | CT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Hospital | Past | Accepting new patients | |
| Middlesex Hospital | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Middletown, CT
- NPI 1003873233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1679556286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 S MAIN ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573648",
"telephone_number": "860-358-6878",
"fax_number": "860-358-6412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 S MAIN ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573648",
"telephone_number": "860-344-6878",
"fax_number": "860-344-6412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCHANT",
"first_name": "NASEEMA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "036246",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CT",
"license": "036246",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CT",
"license": "036246",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT LICENSE",
"identifier": "036246",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}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 Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.