MIDSTATE NEPHROLOGY ASSOCIATES PC – NPI #1689877995
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

MIDSTATE NEPHROLOGY ASSOCIATES PC is a provider located in MIDDLETOWN, CT. NPPES has assigned the NPI number 1689877995 to MIDSTATE NEPHROLOGY ASSOCIATES PC on June 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is N/A. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 2 years ago on Jan 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIDSTATE NEPHROLOGY ASSOCIATES PC below.

NPI Profile for
MIDSTATE NEPHROLOGY ASSOCIATES PC

NPI Number
1689877995
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIDSTATE NEPHROLOGY ASSOCIATES PC
Former Legal Business Name: N/A
Other name(s)
All associated names:
Former Legal Business Name
Midstate Nephrology Associates PC
Former Legal Business Name
n/a
Primary location
535 SAYBROOK RD STE 5
MIDDLETOWN, CT 06457-4743
Phone: (860) 344-8606 Fax: (860) 344-8963
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SOFIA GUZMAN
MANAGER
Phone: (860) 344-8606
Updated
Certification Date
Jan 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MIDSTATE NEPHROLOGY ASSOCIATES PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCT4064721
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.