Middlesex Hospital Dba Family Practice Group East Hampton
NPI 1114062114 · Family Medicine Physician · East Hampton, CT
Middlesex Hospital Dba Family Practice Group East Hampton is a Family Medicine Physician organization in East Hampton, CT (NPI 1114062114).
Provider details
- NPI number
- 1114062114
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Middlesex Hospital
- Organization subpart
- Yes
- Authorized official
- Marisa Pellerin, Credentialing/Enrollment(860) 358-4821
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Family Practice Group East Hampton
- Doing business as
- Family Practice Group East Hampton
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2019-03-06
Frequently asked questions
- What is Middlesex Hospital Dba Family Practice Group East Hampton's NPI number?
- Middlesex Hospital Dba Family Practice Group East Hampton's National Provider Identifier (NPI) is 1114062114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Middlesex Hospital Dba Family Practice Group East Hampton?
- Middlesex Hospital Dba Family Practice Group East Hampton is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Middlesex Hospital Dba Family Practice Group East Hampton located?
- Middlesex Hospital Dba Family Practice Group East Hampton's practice location on file with NPPES is 42 E High St, East Hampton, CT 06424-1099.
- What is Middlesex Hospital Dba Family Practice Group East Hampton's phone number?
- The practice phone number listed in the NPPES registry for Middlesex Hospital Dba Family Practice Group East Hampton is (860) 344-6394.
- Who is the authorized official for Middlesex Hospital Dba Family Practice Group East Hampton?
- The authorized official listed on Middlesex Hospital Dba Family Practice Group East Hampton's NPPES record is Marisa Pellerin, Credentialing/Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Middlesex Hospital Dba Family Practice Group East Hampton's NPI active?
- Yes — Middlesex Hospital Dba Family Practice Group East Hampton's NPI (1114062114) is active in the NPPES registry as of the last update on 2019-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.