Midstate Nephrology Associates PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MIDSTATE NEPHROLOGY ASSOCIATES PC

Practice address

535 Saybrook Rd Ste 5
Middletown, CT 06457-4743

Phone

(860) 344-8606

Fax

(860) 344-8963

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Sofia Guzman

Title

Manager

Phone

(860) 344-8606

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Midstate Nephrology Associates PC Former legal business name
• n/a Former legal business name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 8

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

• David Joseph Miner, MD

  • Nephrology Physician
  • Middletown, CT
  • NPI 1225125933
  Medicare reassignment Care Compare group NPD
• Thejas N Swamy, MD

  • Nephrology Physician
  • Middletown, CT
  • NPI 1790914547
  Medicare reassignment Care Compare group NPD
• David Baggish, M.D.

  • Nephrology Physician
  • Middletown, CT
  • NPI 1598748808
  NPD (past)
• Daniel C Belin, M.D.

  • Rheumatology Physician
  • Middletown, CT
  • NPI 1841265048
  NPD (past)
• John J Borkowski, M.D.

  • Specialist
  • Middletown, CT
  • NPI 1467457663
  NPD (past)
• Robert Elton Fales Jr., MD

  • Internal Medicine Physician
  • Middletown, CT
  • NPI 1417062357
  NPD (past)
• Dale Rowett, M.D.

  • Nephrology Physician
  • Middletown, CT
  • NPI 1629086319
  NPD (past)
• Samuel Kofi Osei Okoh, MD

  • Nephrology Physician
  • Hartsville, SC
  • NPI 1730381252
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1689877995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 SAYBROOK RD STE 5",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574743",
            "telephone_number": "860-344-8606",
            "fax_number": "860-344-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SAYBROOK RD STE 5",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574743",
            "telephone_number": "860-344-8606",
            "fax_number": "860-344-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSTATE NEPHROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-344-8606"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4064721",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midstate Nephrology Associates PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Middletown Dental Associates LLC
• Middletown Pharmacy Inc
• Middletown Smiles, LLC
• Middletown Surgical Group, Prof Corp
• Kathryn Midlik, LCSW
• Kimberly Anne Mignogno, PTA
• Monique T Miley, APRN
• Dena Miller, MD
• Donald E Miller, MD
• Walter Livingston Miller, LCSW LADC NCGC II

• Nephrology Physician in Middletown, CT
• Providers in Middletown, CT by specialty
• Nephrology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.