Individual provider Active NPI

Marc Joseph Casasanta, MD

  • Colon & Rectal Surgery Physician
  • Danbury, CT
National Provider Identifier
1124281530
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
61554 Issued in CT
Practice address
111 Osborne St Ste 111
Danbury, CT 06810
Phone
(203) 739-7131
Fax
(203) 739-1554
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 279342 NY
Colon & Rectal Surgery Physician 208C00000X 61554 CT Primary

Addresses

Primary practice location

111 Osborne St Ste 111
Danbury, CT 06810

Mailing address

111 Osborne St Ste 111
Danbury, CT 06810-6019
Phone (203) 739-7131

Other practice location 1

170 Maple Ave
Suite 502
White Plains, NY 10601-4710
Phone (914) 948-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150825003891 NY Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 7214243062 Reassigns benefits to 3 organizations
I20180801000340 CT Practitioner - Colorectal Surgery (Proctology) 7214243062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
New York Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

111 Osborne St
Suite 121
Danbury, CT 06810-6019
Phone (203) 739-7038

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Putnam Hospital Center Hospital, Carmel, NY, CCN 330273

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC CurrentSince Jun 10, 2022 Accepting new patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Eastern New York Medical Services PC CurrentSince Mar 1, 2019 Accepting new patients
White Plains Hospital Medical Center Colon & Rectal Surgery Current Accepting new patients
White Plains Hospital Medical Center CurrentSince Oct 1, 2015 Accepting new patients

Locations

111 Osborne St
Ste 121
Danbury, CT 06810
Phone (203) 739-7010

111 Osborne St
Danbury, CT 06810
Phone (203) 739-7131

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

111 Osborne St
Ste 111
Danbury, CT 06810
Phone (203) 739-7131

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

3423 Danbury Rd
Brewster, NY 10509
Phone (845) 279-7200

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

672 Stoneleigh Ave
Ste C112
Carmel, NY 10512
Phone (203) 739-7131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

170 Maple Ave
Ste 502
White Plains, NY 10601
Phone (914) 948-1000

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

170 Maple Ave
Ste 201
White Plains, NY 10601
Phone (914) 681-2783

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1124281530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OSBORNE ST STE 111",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106019",
            "telephone_number": "203-739-7131",
            "fax_number": "203-739-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OSBORNE ST STE 111",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-739-7131",
            "fax_number": "203-739-1554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Maple Ave",
            "address_2": "Suite 502",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106014710",
            "country_code": "US",
            "telephone_number": "914-948-1000",
            "fax_number": "914-949-6109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASASANTA",
        "first_name": "MARC",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "279342",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CT",
            "license": "61554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.