Individual provider Active NPI

Sydney S Page, PA

  • Medical Physician Assistant
  • Danbury, CT
National Provider Identifier
1174502033
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
996 Issued in CT
Practice address
27 Hospital Ave
Suite 205
Danbury, CT 06810-5954
Phone
(203) 794-0599
Fax
(203) 794-9568
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 996 CT Primary

Addresses

Primary practice location

27 Hospital Ave
Suite 205
Danbury, CT 06810-5954

Mailing address

27 Hospital Ave
Suite 205
Danbury, CT 06810-5954
Phone (203) 794-0599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070628000458 CT Practitioner - Physician Assistant 6305945551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

22 Old Waterbury Rd
Southbury, CT 06488-3848
Phone (203) 262-4200

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118

33 Germantown Rd
Danbury, CT 06810-5038
Phone (203) 739-8330

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000996CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Family Orthopedics PC Past Accepting new patients

Organizations & group practices 2

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 2

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174502033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HOSPITAL AVE",
            "address_2": "SUITE 205",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105954",
            "telephone_number": "203-794-0599",
            "fax_number": "203-794-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HOSPITAL AVE",
            "address_2": "SUITE 205",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105954",
            "telephone_number": "203-794-0599",
            "fax_number": "203-794-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "SYDNEY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.