| Middlesex Gastroenterology Associates, Llc | |
|
410 Saybrook Road Suite 201 Middletown CT 06457-4747 | |
| (860) 347-4620 | |
| (860) 346-9687 |
| Full Name | Middlesex Gastroenterology Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 410 Saybrook Road, Middletown, Connecticut |
| Authorized Official Name and Position | Mario Ricci (MANAGING PARTNER) |
| Authorized Official Contact | 8603474620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Middlesex Gastroenterology Associates, Llc 410 Saybrook Road Suite 201 Middletown CT 06457-4747 Ph: (860) 347-4620 | Middlesex Gastroenterology Associates, Llc 410 Saybrook Road Suite 201 Middletown CT 06457-4747 Ph: (860) 347-4620 |
| NPI Number | 1205894375 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 10/02/2023 |
| Medicare PECOS PAC ID | 5597657627 |
|---|---|
| Medicare Enrollment ID | O20040325000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205894375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 025965 (Connecticut) | Primary |
| Provider Name | Mario Q Ricci |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124130760 PECOS PAC ID: 2668447293 Enrollment ID: I20040827000747 |
| Provider Name | Nadeem Hussain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548228596 PECOS PAC ID: 4385674076 Enrollment ID: I20050812000399 |
| Provider Name | Edmund Y Chung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306804323 PECOS PAC ID: 9335150697 Enrollment ID: I20060526000142 |
| Provider Name | Lucian F Gorgan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619906542 PECOS PAC ID: 4587677257 Enrollment ID: I20060725000077 |
| Provider Name | Gregor John Koobatian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609833730 PECOS PAC ID: 0749172898 Enrollment ID: I20110928000065 |
| Provider Name | Joshua N Alderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639622962 PECOS PAC ID: 5193013324 Enrollment ID: I20161004001177 |
| Provider Name | Angelo Humberto Paredes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235289398 PECOS PAC ID: 9133318611 Enrollment ID: I20201212000158 |
| Provider Name | Perry Pratt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952712721 PECOS PAC ID: 5698994192 Enrollment ID: I20210507000255 |
| Provider Name | Homaira Rasool |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043740293 PECOS PAC ID: 2961829908 Enrollment ID: I20231109000595 |
| Provider Name | Lauren Carmela Prior |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659051704 PECOS PAC ID: 0143678466 Enrollment ID: I20231128000867 |
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 |