NPI
Confermed PC
NPI 1376190850
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2019-08-20
- Last updated
- 2026-03-06
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Specialties
- 207R00000XInternal Medicine · Primary
- 207N00000XDermatology
- 208000000XPediatrics
- 207W00000XOphthalmology
- 208800000XUrology
- 207Q00000XFamily Medicine
- 261QM1300XClinic/Center, Multi-Specialty
- 208VP0000X208VP0000X
- 2084P0800XPsychiatry & Neurology, Psychiatry
- 207X00000XOrthopaedic Surgery
- 207Y00000XOtolaryngology
- 207SG0201XMedical Genetics, Clinical Genetics (M.D.)
Licenses
The registry row did not include a license.
Location
- Practice location
- 19 Grand St
- City
- Middletown CT
- Postal code
- 06457-2705
- Phone
- (860) 323-0172
Organization contact
- Name
- Robert Mordkin
- Title
- President
- Phone
- (703) 258-2838
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Middletown, CT. 1,955 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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