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CRESCENT ST OBGYN LLC
NPI 1184884355
Nurse Practitioner in Middletown, CT

Active since June 11, 2008
49 CRESCENT ST, MIDDLETOWN, CT 06457(860) 344-9993 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crescent St Obgyn Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESCENT ST OBGYN LLC (NPI 1184884355) is a healthcare organization registered as a nurse practitioner in Middletown, Connecticut and active in the NPI registry since June 2008. The organization lists Julie S Flagg, Owner, as its authorized official.

NPPES Registry Identity

NPI1184884355
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameCRESCENT ST OBGYN LLC
Location Address49 CRESCENT STMiddletown, CT 06457-3601
Mailing Address49 Crescent StMiddletown, CT 06457-3601 · (860) 344-9993
Phone(860) 344-9993
Organization SubpartNo
Authorized OfficialJulie S FlaggOwner · (860) 344-9993
Enumeration DateJune 11, 2008
✔ NPI 1184884355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CT · 002684
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
49 CRESCENT ST, Middletown, CT 06457
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Other Identifiers 3

Medicare PIN500001502CT
Medicaid004236924CT
Medicare UPINS35225CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN DAVEY
Advanced Practice Midwife
49 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-9993
CRESCENT STREET OBSTETRICS AND GYNECOLOGY LLC
Obstetrics & Gynecology
49 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-9993
TIFFANY SIMONE OLAYINKA OLIER M.D.
Obstetrics & Gynecology
49 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-9993
MIA ELANA FISCHBEIN DO
Obstetrics & Gynecology
49 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-3360
ANNE S BINGHAM
Obstetrics & Gynecology
49 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-9993
CARLA MCLEOD
Obstetrics & Gynecology
49 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-9993
LAURA BONY M.D.
Obstetrics & Gynecology
49 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-9993
JULIE S FLAGG III
Obstetrics & Gynecology
49 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-9993

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crescent St Obgyn LLC's NPI number?

The NPI number for Crescent St Obgyn LLC is 1184884355. It was assigned to this organization in the NPPES registry on June 11, 2008.

Where is Crescent St Obgyn LLC located?

Crescent St Obgyn LLC is located at 49 Crescent St, Middletown, CT 06457. The listed phone number is (860) 344-9993.

What is Crescent St Obgyn LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Crescent St Obgyn LLC was last updated on June 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.