Organization Active NPI

Danbury Hospital

  • Dental Clinic/Center
  • Danbury, CT
National Provider Identifier
1003835935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0039 Issued in CT
Legal business name
DANBURY HOSPITAL
Practice address
70 Main St
Danbury, CT 06810-7832
Phone
(203) 791-5010
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda Plaag
Title
Chief Privacy Officer
Phone
(203) 739-6430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0039 CT Primary

Addresses

Primary practice location

70 Main St
Danbury, CT 06810-7832

Mailing address

70 Main St
Danbury, CT 06810-7832
Phone (203) 791-5010

Other names 1

  • Siefert & Ford Family Community Health Center Dental Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071127000624 CT Part A Provider - Hospital 1557273935 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newtown, CT; Southbury, CT; New Milford, CT; Danbury, CT; Norwalk, CT; Ridgefield, CT; Westport, CT; Bethel, CT…

Hospital certification: CCN 070033

Legal name
DANBURY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 23, 2013
Beds
345
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 30, 1985 in CT
Enrollment address
24 Hospital Ave
Danbury, CT 68106099
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric, Rehabilitation, Short-term

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Danbury HospitalCCN 070033
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2169406Danbury Hospital Specialty Services70 Main St, Danbury, CT 06810Certificate of waiverJul 18, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 32

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ramon Soto Individual Corporate DirectorBoard Member May 1, 2025
Margaret M Crotty Individual Corporate DirectorBoard Member May 1, 2025
Howard B Gold Individual Corporate DirectorBoard Member May 1, 2025
Northwell, Inc. Organization, New Hyde Park, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest May 1, 2025 100%
Timothy Dean Individual Corporate DirectorBoard Member May 1, 2025
Michael E Feldman Individual Corporate DirectorBoard Member May 1, 2025
Sal Calta Individual Corporate DirectorBoard Member May 1, 2025
Gregory W Rakow Individual Corporate DirectorBoard Member May 1, 2025
Robert R Dyson Individual Corporate DirectorBoard Member May 1, 2025
Mark J Solazzo Individual Corporate DirectorBoard Member May 1, 2025
Ervin Shames Individual Corporate DirectorBoard Member May 1, 2025
Kathleen Gallo Individual Corporate DirectorBoard Member May 1, 2025
Anne Roby Individual Corporate DirectorBoard Member May 1, 2025
Mark Gudis Individual Corporate DirectorVice Chairman May 1, 2025
Michael Nesheiwat Individual Corporate DirectorBoard Member May 1, 2025
Nuvance Health Organization, Poughkeepsie, NY Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Apr 1, 2019 100%
Michelle Robertson Individual Corporate OfficerPresident, Nuvance Market Northwell Jan 1, 2026
Nicole J Schulz Individual Corporate OfficerChief Revenue Officer Jan 1, 2024
Daniel Debarba Individual Corporate OfficerChief Financial Officer Oct 1, 2022
Corporate DirectorTreasurer Oct 1, 2022
W-2 Managing Employee Oct 1, 2022
Steven V Lant Individual Corporate DirectorChairman of the Board May 1, 2025
John K D'Angelo Individual Corporate OfficerPresident and Ceo Oct 1, 2025
Corporate DirectorEx Officio Director Oct 1, 2025
Joseph Divestea Individual Corporate DirectorBoard Member May 1, 2025
Western Connecticut Health Network Organization, Danbury, CT Non-profit 5% Or Greater Direct Ownership Interest Sep 15, 2011 100%
Operational/Managerial Control Sep 15, 2011 100%
Donald Jones Individual Corporate DirectorBoard Member May 1, 2025
Laurence a Kraemer Individual Corporate OfficerEvp and Chief Legal Officer Jan 1, 2026
Corporate DirectorAssistant Secretary Jan 1, 2026
Richard Jabara Individual Corporate DirectorBoard Member May 1, 2025
Thomas Dubin Individual Corporate DirectorBoard Member May 1, 2025
Michele L Cusack Individual Corporate OfficerEvp and Cfo Northwell Jan 1, 2026
Corporate DirectorAssistant Treasurer Jan 1, 2026
Northwell Health System, Inc. Organization, New Hyde Park, NY Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2025 100%
Brian Wyatt Individual Corporate OfficerChief Legal Officer Jan 1, 2026
Corporate DirectorSecretary Jan 1, 2026
Javid Shahid Individual Corporate OfficerBoard Member May 1, 2025
Francoise C Dunefsky Individual Corporate DirectorBoard Member May 1, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1,148

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,148

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003835935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107832",
            "telephone_number": "203-791-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107832",
            "telephone_number": "203-791-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANBURY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLAAG",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CHIEF PRIVACY OFFICER",
        "authorized_official_telephone_number": "203-739-6430"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "0039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siefert & Ford Family Community Health Center Dental Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.