MOUNT MORIAH MEDICAL CENTER, LLC
NPI 1558308445
Family Medicine in New London, CT

Active since June 01, 2006
435 MONTAUK AVE, NEW LONDON, CT 06320(860) 444-7400(860) 444-7401 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mount Moriah Medical Center, Llc NPPES

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

MOUNT MORIAH MEDICAL CENTER, LLC (NPI 1558308445) is a healthcare organization registered as a family medicine in New London, Connecticut and active in the NPI registry since June 2006. The organization lists Harold Phillips, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1558308445
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNT MORIAH MEDICAL CENTER, LLC
Location Address435 MONTAUK AVENew London, CT 06320-4621
Mailing Address196 Parkway S, Suite 304Waterford, CT 06385-1219 · (860) 442-7027 · Fax (860) 444-0074
Fax(860) 444-7401
Organization SubpartNo
Authorized OfficialHarold PhillipsPhysician/owner · (860) 460-2183
Enumeration DateJune 1, 2006
Last NPPES UpdateSeptember 4, 2007
NPI 1558308445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
435 MONTAUK AVE, New London, CT 06320

Other Identifiers 2

Medicare PINC02744CT
OtherCH6914CT · Raild Road Medicare Group

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 5

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

Internal Medicine
435 MONTAUK AVE
NEW LONDON, CT 06320
Family Medicine
435 MONTAUK AVE
NEW LONDON, CT 06320
Physician Assistant
435 MONTAUK AVE
NEW LONDON, CT 06320
Family Medicine
435 MONTAUK AVE
NEW LONDON, CT 06320
Nurse Practitioner (Family)
435 MONTAUK AVE
NEW LONDON, CT 06320

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 Mount Moriah Medical Center, LLC's NPI number?

The NPI number for Mount Moriah Medical Center, LLC is 1558308445. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is Mount Moriah Medical Center, LLC located?

Mount Moriah Medical Center, LLC is located at 435 Montauk Ave, New London, CT 06320. The listed phone number is (860) 444-7400.

What is Mount Moriah Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mount Moriah Medical Center, LLC was last updated on September 4, 2007. 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.