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MYSTIC GERIATRICS, LLC
NPI 1336167238
Family Medicine - Geriatric Medicine in Mystic, CT

Active since July 18, 2006
3 HERON RD, MYSTIC, CT 06355(860) 536-5302(860) 536-5302 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mystic Geriatrics, Llc NPPES

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

MYSTIC GERIATRICS, LLC (NPI 1336167238) is a healthcare organization registered as a geriatric medicine in Mystic, Connecticut and active in the NPI registry since July 2006. The organization lists June Fliri, Manager, as its authorized official.

NPPES Registry Identity

NPI1336167238
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameMYSTIC GERIATRICS, LLC
Location Address3 HERON RDMystic, CT 06355-3253
Mailing Address3 Heron RdMystic, CT 06355-3253 · (860) 536-5302 · Fax (860) 536-5302
Phone(860) 536-5302
Fax(860) 536-5302
Organization SubpartNo
Authorized OfficialJune FliriManager · (860) 536-8882
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 20, 2015
✔ NPI 1336167238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
3 HERON RD, Mystic, CT 06355
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

CHERYL A WALKER APRN
Nurse Practitioner (Gerontology)
3 HERON RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-6442
MICHAEL J. FELTES, DBA SOUND SENIORS GERIATRICS, MD
Family Medicine (Geriatric Medicine)
3 HERON RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-6442
MICHAEL J. FELTES,DBA SOUND SENIORS GERIATRICS, APRN
Nurse Practitioner (Gerontology)
3 HERON RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-6442
DR. MICHAEL J FELTES M.D.
Family Medicine
3 HERON RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-6442
MRS. KAREN JANET TERWILLIGER MS, APRN, AGPCNP-BC
Nurse Practitioner (Gerontology)
3 HERON RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (401) 497-6799
MS. MARY ELLEN PAGNOZZI A.P.R.N.
Nurse Practitioner (Adult Health)
3 HERON RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-6442
DR. HAROLD EUGENE PHILLIPS JR. M.D.
Family Medicine
3 HERON RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-6442

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 Mystic Geriatrics, LLC's NPI number?

The NPI number for Mystic Geriatrics, LLC is 1336167238. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Mystic Geriatrics, LLC located?

Mystic Geriatrics, LLC is located at 3 Heron Rd, Mystic, CT 06355. The listed phone number is (860) 536-5302.

What is Mystic Geriatrics, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Mystic Geriatrics, LLC was last updated on July 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.