Active NPIIndividual provider

Domenic W Casablanca, MD

Family Medicine in East Hampton, Connecticut

NPI Number1548227267
Practice location
42 E High St Ste 205, East Hampton, CT 06424-1073
Fax
—
Last updated
February 4, 2026

Domenic William Casablanca is a Family Medicine based in East Hampton, CT. Domenic William Casablanca practices in East Hampton, CT and has the professional credentials of MD. The NPI Number for Domenic William Casablanca is 1548227267 and holds a License No. 204552 (NY). The current practice location address for Domenic William Casablanca is 42 E High St Ste 205, East Hampton, CT 06424-1073 and can be reached out via phone at 860-358-3500.

Provider Profile Details

NPI Number
1548227267
Provider Name
Domenic William Casablanca
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
42 E High St Ste 205, East Hampton, CT 06424-1073
Phone Number
860-358-3500
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
April 27, 2006
Last Update Date
February 4, 2026
Certification Date
February 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 E High St Ste 205
East Hampton, CT 06424-1073
Zip
06424-1073
Phone Number
860-358-3500
East Hampton, CT 06424Get directions →

Provider Business Mailing Address Details

Address
28 Crescent St
Middletown, CT 06457-3650
City
Middletown
State
CT
Zip
06457-3650
Phone Number
860-358-6000

License Information

License Number (1)
204552
License State (1)
NY
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
MA060820
License State (2)
NJ
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
037602
License State (3)
CT
Taxonomy (3)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Family Medicine providers near East Hampton, CT

View all Family Medicine providers in East Hampton →

Frequently Asked Questions

What is the NPI number of Domenic W Casablanca, MD?

The NPI number of Domenic W Casablanca, MD is 1548227267. It was assigned on April 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Domenic W Casablanca, MD?

Domenic W Casablanca, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 204552.

Where does Domenic W Casablanca, MD practice?

The practice location is 42 E High St Ste 205, East Hampton, CT 06424-1073. The office can be reached at 860-358-3500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548227267 directly on the NPPES registry website.

Browse related providers