Organization Active NPI

Multicare Medical Center

  • Physical Medicine & Rehabilitation Physician
  • Milford, CT
National Provider Identifier
1982828182
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
037255 Issued in CT
Legal business name
MULTICARE MEDICAL CENTER
Practice address
232 Boston Post Rd
Milford, CT 06460
Phone
(203) 876-2179
Fax
(203) 876-2369
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Michael Wong, M.D.NPI 1346226834
Title
Authorized Official
Phone
(203) 876-2179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 016637 CT
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 037255 CT Primary

Addresses

Primary practice location

232 Boston Post Rd
Milford, CT 06460

Mailing address

232 Boston Post Rd
Milford, CT 06460-3158
Phone (203) 876-2179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902001150 CT Part B Supplier - Clinic/Group Practice 2163498965 Receives reassigned benefits from 3 practitioners
Practice locations: Milford, CT

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0977889Multicare Medical Center232 Boston Post Rd Unit 11, Milford, CT 06460Certificate of waiverSep 10, 2026

National Provider Directory

National Provider Directory

Locations

232 Boston Post Rd
Milford, CT 06460
Phone (203) 876-2179

209 Boston Post Rd
Milford, CT 06460
Phone (203) 676-3193

232 Boston Post Rd
Unit 12
Milford, CT 06460
Phone (203) 876-2179

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1982828182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 BOSTON POST RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603158",
            "telephone_number": "203-876-2179",
            "fax_number": "203-876-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BOSTON POST RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-876-2179",
            "fax_number": "203-876-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICARE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "203-876-2179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "016637",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "037255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.