MIDDLETOWN MEDICAL PC NPI 1902855828

NPI Information

  • NPI: 1902855828
  • Provider Name: MIDDLETOWN MEDICAL PC
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Address: 111 MALTESE DR
    MIDDLETOWN, NY
    ZIP 10940
  • Phone: (845) 342-4774

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NPI Details

MIDDLETOWN MEDICAL PC is an emergency medicine in Middletown, NY. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MIDDLETOWN MEDICAL PC NPI is 1902855828. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

111 MALTESE DR
MIDDLETOWN, NY
ZIP 10940-115
Phone: (845) 342-4774
Fax: (845) 818-7555

The provider's authorized official is Rajan Gulati .
The authorized official title is Ceo and has the following contact phone number (845) 342-4774.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 7/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RC0200XInternal MedicineCritical Care MedicineNo
5207RN0300XInternal MedicineNephrologyNo
6207W00000XOphthalmologyNo
7207X00000XOrthopaedic SurgeryNo
8208000000XPediatricsNo
92084N0400XPsychiatry & NeurologyNeurologyNo
102084P0800XPsychiatry & NeurologyPsychiatryNo
11208600000XSurgeryNo
12208M00000XHospitalistNo
13208VP0000XPain MedicinePain MedicineNo
14207P00000XEmergency MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100884280MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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