Middlesex Hospital DBA Family Practice Group East Hampton
NPI 1114062114ActiveOrganization· Family Medicine· East Hampton, CT
Family Medicine in East Hampton, Connecticut, registered in NPPES in February 2007, part of Middlesex Hospital. The authorized official on file is Marisa Pellerin, Credentialing/Enrollment.
Overview
| NPI | 1114062114 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Middlesex Hospital |
| NPI issued | Feb 20, 2007 |
| Last updated in NPPES | Mar 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | CT |
| Family Medicine, Geriatric Medicine | 207QG0300X | — | CT |
| Obstetrics & Gynecology | 207V00000X | — | CT |
| Pediatrics | 208000000X | — | CT |
| Physician Assistant, Medical | 363AM0700X | — | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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