Middlesex Cardiology Associates, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MIDDLESEX CARDIOLOGY ASSOCIATES, PC

Practice address

420 Saybrook Rd
Middletown, CT 06457

Phone

(860) 347-4258

Fax

(860) 704-5924

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Eran I Shani, MD

Title

Authorized Official

Phone

(860) 347-4258

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1912917089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574700",
            "telephone_number": "860-347-4258",
            "fax_number": "860-704-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-347-4258",
            "fax_number": "860-704-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX CARDIOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "SHANI",
        "authorized_official_first_name": "ERAN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "860-347-4258",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004053088",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Brian Michel, D.O.
• Katherine Miciak
• Brooklyn Larisa Mickolyzck, DNP, FNP-BC
• Mid State MD, LLC
• Middesex Dental Sleep Medicine LLC
• Middlesex Center for Advanced Orthopedic Surgery
• Middlesex Dental Care, LLC
• Middlesex Dermatology, LLC
• Middlesex Diabetes & Endocrinology
• Middlesex Dialysis Center LLC

• Cardiovascular Disease Physician in Middletown, CT
• Providers in Middletown, CT by specialty
• Cardiovascular Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.