Organization Active NPI

Justin D. Caskey, D.O., P.C.

  • Family Medicine Physician
  • Middlebury, CT
National Provider Identifier
1891212726
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
054213 Issued in CT
Legal business name
JUSTIN D. CASKEY, D.O., P.C.
Practice address
819 Straits Tpke
Middlebury, CT 06762-2847
Phone
(203) 758-1765
Fax
(203) 577-2116
NPI assigned
Aug 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Authorized official

Name
Justin D Caskey, DO
Title
Ceo
Phone
(203) 233-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 054213 CT Primary

Addresses

Primary practice location

819 Straits Tpke
Middlebury, CT 06762-2847

Mailing address

67 Maplewood Ave
West Hartford, CT 06119-1630
Phone (203) 233-9977

National Provider Directory

National Provider Directory

Locations

819 Straits Tpke
Middlebury, CT 06762
Phone (203) 598-7920

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1891212726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MAPLEWOOD AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191630",
            "telephone_number": "203-233-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 STRAITS TPKE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622847",
            "telephone_number": "203-758-1765",
            "fax_number": "203-577-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN D. CASKEY, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "CASKEY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-233-9977",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "054213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.