| Middlesex Hospital Dba Family Practice Group | |
|
90 S Main St Middletown CT 06457-3649 | |
| (860) 358-6394 | |
| (860) 358-6748 |
| Full Name | Middlesex Hospital Dba Family Practice Group |
|---|---|
| Speciality | Family Medicine |
| Location | 90 S Main St, Middletown, Connecticut |
| Authorized Official Name and Position | Vincent G. Capece (CEO) |
| Authorized Official Contact | 8603586110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Middlesex Hospital Dba Family Practice Group 90 S Main St Middletown CT 06457-3649 Ph: (860) 358-6394 | Middlesex Hospital Dba Family Practice Group 90 S Main St Middletown CT 06457-3649 Ph: (860) 358-6394 |
| NPI Number | 1851350664 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 06/11/2020 |
| Medicare PECOS PAC ID | 5092611731 |
|---|---|
| Medicare Enrollment ID | O20031216000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851350664 | NPI | - | NPPES |
| CC6526 | Other | CT | RR MEDICARE |
| Provider Name | Michael D Good |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104936905 PECOS PAC ID: 5092615955 Enrollment ID: I20040109000019 |
| Provider Name | Chris Bentley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770594111 PECOS PAC ID: 7618878182 Enrollment ID: I20040116000923 |
| Provider Name | Aysegul Ozbek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093794521 PECOS PAC ID: 2567352776 Enrollment ID: I20040319000117 |
| Provider Name | Meltem Seli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922081009 PECOS PAC ID: 3870569346 Enrollment ID: I20040907000441 |
| Provider Name | John Carbone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366487563 PECOS PAC ID: 9335180223 Enrollment ID: I20050520000596 |
| Provider Name | Anne E Youngling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245242643 PECOS PAC ID: 3375573595 Enrollment ID: I20050817000842 |
| Provider Name | Adam E Perrin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558337683 PECOS PAC ID: 0648204941 Enrollment ID: I20050926001044 |
| Provider Name | Ahmet Semih Gork |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376570606 PECOS PAC ID: 8224046628 Enrollment ID: I20060327000672 |
| Provider Name | Michael J Kalinowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306884341 PECOS PAC ID: 5193737112 Enrollment ID: I20060612000161 |
| Provider Name | Shikha M. Sarkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942251814 PECOS PAC ID: 4587645650 Enrollment ID: I20060710000181 |
| Provider Name | Matthew J Raider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073562674 PECOS PAC ID: 4587677737 Enrollment ID: I20060711000224 |
| Provider Name | Stephanie E Rosener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710942974 PECOS PAC ID: 8123016516 Enrollment ID: I20060712000166 |
| Provider Name | Cliff Ocallahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811977663 PECOS PAC ID: 1951405299 Enrollment ID: I20070327000322 |
| Provider Name | Tonya M Cremin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093890162 PECOS PAC ID: 0345330122 Enrollment ID: I20071217000554 |
| Provider Name | Victoria S Langer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881797025 PECOS PAC ID: 6305921560 Enrollment ID: I20080312000133 |
| Provider Name | Janine Fonfara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124215546 PECOS PAC ID: 9830187863 Enrollment ID: I20080429000472 |
| Provider Name | Nicklos M Markey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700057437 PECOS PAC ID: 5597834416 Enrollment ID: I20080519000541 |
| Provider Name | Veronica G Mansfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790993152 PECOS PAC ID: 8628148699 Enrollment ID: I20080603000084 |
| Provider Name | Sandra Motta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134301211 PECOS PAC ID: 1850468133 Enrollment ID: I20080929000489 |
| Provider Name | James K Ahern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356385868 PECOS PAC ID: 4688735301 Enrollment ID: I20081212000284 |
| Provider Name | Emmanuel Kenta Bibi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710163795 PECOS PAC ID: 4385795632 Enrollment ID: I20090625000534 |
| Provider Name | Lawrence M Arky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124122338 PECOS PAC ID: 1355497512 Enrollment ID: I20090914000515 |
| Provider Name | Domenic W Casablanca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548227267 PECOS PAC ID: 9739153826 Enrollment ID: I20090916000371 |
| Provider Name | Michael Stehney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730169038 PECOS PAC ID: 1153461496 Enrollment ID: I20091217000676 |
| Provider Name | Otto Weis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326028176 PECOS PAC ID: 1658411814 Enrollment ID: I20091218000293 |
| Provider Name | Adam Seidner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144208240 PECOS PAC ID: 4981744158 Enrollment ID: I20091218000328 |
| Provider Name | Adriel Kramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932189792 PECOS PAC ID: 6800936089 Enrollment ID: I20091218000410 |
| Provider Name | Alan B Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982684296 PECOS PAC ID: 7810037025 Enrollment ID: I20091221000068 |
| Provider Name | William S Shieh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497731509 PECOS PAC ID: 0840331401 Enrollment ID: I20100105000671 |
| Provider Name | Daniel B Novak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871506949 PECOS PAC ID: 9234271164 Enrollment ID: I20100115000115 |
| Provider Name | Rubin W Hirsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225049240 PECOS PAC ID: 1557403490 Enrollment ID: I20100115000183 |
| Provider Name | Timothy J Buckley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558372805 PECOS PAC ID: 4880736727 Enrollment ID: I20100115000219 |
| Provider Name | Anne Marie Prabulos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235136680 PECOS PAC ID: 2769517150 Enrollment ID: I20100324000701 |
| Provider Name | Daniel Wilensky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376549444 PECOS PAC ID: 6709845928 Enrollment ID: I20110208000681 |
| Provider Name | Yadira E Acevedo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093991077 PECOS PAC ID: 7618146648 Enrollment ID: I20110809000592 |
| Provider Name | Laura V Lucarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386934578 PECOS PAC ID: 2860666203 Enrollment ID: I20111121000189 |
| Provider Name | Lindsay M Leighton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518250034 PECOS PAC ID: 0446418966 Enrollment ID: I20120229000630 |
| Provider Name | Tina R Bafumi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033391677 PECOS PAC ID: 9830352848 Enrollment ID: I20120531000115 |
| Provider Name | Kimberly A Legere Sharples |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033372529 PECOS PAC ID: 3375791304 Enrollment ID: I20120918000229 |
| Provider Name | Jennifer L Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982690202 PECOS PAC ID: 2668597618 Enrollment ID: I20130424000377 |
| Provider Name | Michelle Anne Cardona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346462256 PECOS PAC ID: 8022158567 Enrollment ID: I20140129001812 |
| Provider Name | Lauren E Melman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730313594 PECOS PAC ID: 5395976385 Enrollment ID: I20140314000442 |
| Provider Name | Emese Gal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265727432 PECOS PAC ID: 9638393416 Enrollment ID: I20140618000125 |
| Provider Name | Justin Caskey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346536398 PECOS PAC ID: 3375781099 Enrollment ID: I20150805008223 |
| Provider Name | Oluwaseun Adekanye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578843116 PECOS PAC ID: 2567778046 Enrollment ID: I20150828000909 |
| Provider Name | Juliann W. Sheehan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194951434 PECOS PAC ID: 5698081750 Enrollment ID: I20150903001860 |
| Provider Name | Alexis L Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316264617 PECOS PAC ID: 3375848732 Enrollment ID: I20160223000581 |
| Provider Name | John D Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366707580 PECOS PAC ID: 9638319023 Enrollment ID: I20160803001271 |
| Provider Name | Stacey Durr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073067930 PECOS PAC ID: 5193012292 Enrollment ID: I20160916001418 |
| Provider Name | Shelley Burchsted |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235579251 PECOS PAC ID: 8628211224 Enrollment ID: I20170825002352 |
| Provider Name | Mary Elizabeth Van Siclen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730590860 PECOS PAC ID: 5092033597 Enrollment ID: I20181003002665 |
| Provider Name | Keely Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437631041 PECOS PAC ID: 6901159920 Enrollment ID: I20181022001010 |
| Provider Name | Stephanie P Schmidt |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1366854499 PECOS PAC ID: 4981909884 Enrollment ID: I20181106001809 |
| Provider Name | Teresa Domack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235540386 PECOS PAC ID: 6204050412 Enrollment ID: I20190405000728 |
| Provider Name | Christina Shenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841424124 PECOS PAC ID: 9133369044 Enrollment ID: I20190524000445 |
| Provider Name | Julie Macneil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659766483 PECOS PAC ID: 7810203254 Enrollment ID: I20190717003079 |
| Provider Name | Leah Gregorio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023465283 PECOS PAC ID: 6901190792 Enrollment ID: I20190726001627 |
| Provider Name | Jason Cassese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578113718 PECOS PAC ID: 0244561660 Enrollment ID: I20191015002892 |
| Provider Name | Ashley E Bourassa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447807383 PECOS PAC ID: 1456784826 Enrollment ID: I20191126001751 |
| Provider Name | Shaunna Escobar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912388760 PECOS PAC ID: 8628357175 Enrollment ID: I20201113000485 |
| Provider Name | Matthew Desir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437531886 PECOS PAC ID: 0042514333 Enrollment ID: I20210507001206 |
| Provider Name | Jennifer Pons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043890890 PECOS PAC ID: 9133529183 Enrollment ID: I20210611001648 |
| Provider Name | Daniel Henriquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326573072 PECOS PAC ID: 6103194337 Enrollment ID: I20210712002244 |
| Provider Name | Jonathan Katz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467940395 PECOS PAC ID: 5294082517 Enrollment ID: I20220817002858 |
| Provider Name | Ana Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710418249 PECOS PAC ID: 6204173461 Enrollment ID: I20221004002765 |
| Provider Name | Jamie Adametz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750824157 PECOS PAC ID: 2163861758 Enrollment ID: I20240416000719 |
| Provider Name | Lawrence Kaplan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861401671 PECOS PAC ID: 2264449826 Enrollment ID: I20240521003406 |
Preferred Care Walk-in Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 842 Washington St, Middletown, CT 06457 Phone: 860-346-4484 Fax: 860-347-1343 | |
Revolutionary Recovery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 799 Long Hill Rd Apt D, Middletown, CT 06457 Phone: 860-558-4226 | |
Matthew Raider Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 645 Saybrook Rd, Middletown, CT 06457 Phone: 860-767-4024 | |
Community Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 635 Main St, Middletown, CT 06457 Phone: 860-347-6971 Fax: 860-638-6601 | |
Weslyan Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 237 High St, Middletown, CT 06459 Phone: 860-685-3068 Fax: 972-367-3451 | |
Saybrook Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 760 Saybrook Rd, Middletown, CT 06457 Phone: 860-347-3304 Fax: 860-346-8245 | |
Middlesex Gastroenterology Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Saybrook Road, Suite 201, Middletown, CT 06457 Phone: 860-347-4620 Fax: 860-346-9687 |