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Middlesex Hospital Dba Family Practice Group East Hampton

Family Medicine Physician in East Hampton, CT · enumerated 2007 · authorized official Marisa Pellerin, Credentialing/Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114062114

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Registry record

Entity type Organization (Type 2)
Legal business name Middlesex Hospital Dba Family Practice Group East Hampton
Other name <Unavail>
Parent organization Middlesex Hospital
Practice address 42 E High St, East Hampton, CT, 06424
Phone (860) 344-6394
Fax (860) 344-6748
Enumeration date Feb 20, 2007
Last updated in NPPES Mar 6, 2019

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Marisa Pellerin
Title Credentialing/Enrollment
Phone (860) 358-4821

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Middlesex Hospital Dba Family Practice Group East Hampton?
The NPI for Middlesex Hospital Dba Family Practice Group East Hampton is 1114062114, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Middlesex Hospital Dba Family Practice Group East Hampton?
NPPES lists Marisa Pellerin (Credentialing/Enrollment) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-06.