NPIMap

Middlesex Hospital

Organization Active NPI Occupational Medicine Physician · Middletown, CT

NPI 1689634826 · NPPES record last updated Aug 17, 2018

Key facts

NPI
1689634826
Entity type
Organization (NPI type 2)
Primary specialty
Occupational Medicine Physician 2083X0100X
Legal business name
MIDDLESEX HOSPITAL
Practice address
534 Saybrook Rd
Middletown, CT 06457-4754
Phone
(860) 358-2765
NPI assigned
Mar 23, 2006
Organization subpart
Yes
Parent organization (as reported)
MIDDLESEX HOSPITAL

Authorized official

Name
Vincent G. Capece Jr.
Title
Ceo
Phone
(860) 358-6110

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0097108Middlesex Hospital Outpatient Ctr Lab
534 Saybrook Rd, Middletown, CT 06457		AccreditationMar 27, 2027
07D0979695Middlesex Hospital Opt Center/Poct
534 Saybrook Road, Middletown, CT 06457		Certificate of waiverOct 29, 2026

National Provider Directory

Tax ID family
Middlesex Hospital Dba Middlesex Hospital Physician Services (16 organizations share this tax ID)
Part of
Middlesex Hospital Dba Middlesex Hospital Physician Services

Locations

28 Crescent St
Ste 301
Middletown, CT 06457

90 S Main St
Ste 100
Middletown, CT 06457

80 S Main St
Ste 3RD
Middletown, CT 06457

112 S Main St
Somerset, KY 42501

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2083X0100X CT Yes

Addresses

Primary practice location

534 Saybrook Rd
Middletown, CT 06457-4754

Mailing address

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-2765

Other names

  • Middlesex Hosp dba Compcare & Occupational Medicine Doing business as

Other providers in Middletown, CT

All providers in Middletown, CT · Occupational Medicine Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.