Active NPI
Daniel Facer
- Physician Assistant
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6348
- Practice address
- 33 1/2 Pembroke Rd
Danbury, CT 06811-2954 - Phone
- (203) 743-6471
- NPI assigned
- Nov 14, 2016
- Last updated
- Dec 28, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6348 | CT | Primary |
Addresses
Primary practice location
33 1/2 Pembroke Rd
Danbury, CT 06811-2954
Mailing address
33 1/2 Pembroke Rd
Danbury, CT 06811-2954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Duke University School of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10 S St
Suite 101
Ridgefield, CT 06877-4125
Phone (860) 650-3848
161 Boston Ave
Bridgeport, CT 06610-1662
Phone (203) 333-4400
1918 Black Rock Tpke
Fairfield, CT 06825-3543
Phone (203) 583-8400
389 Bridgeport Ave
Shelton, CT 06484-5303
Phone (203) 567-4171
4200 Main St
Bridgeport, CT 06606-2303
Phone (203) 916-5151
527 Elm St
New Haven, CT 06511-4549
Phone (203) 675-1345
57 Monroe Tpke
Trumbull, CT 06611-1315
Phone (203) 675-1345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6348 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Medical Associates, LLC | Physician Assistant | Current | Accepting new patients |
| WRK Ventures, LLC | Past | Accepting new patients |
Locations
31 Old Route 7
Brookfield, CT 06804
Phone (203) 262-1911
10 South St
Ste 101
Ridgefield, CT 06877
Phone (203) 431-4600
900 Main St S
Ste 100
Southbury, CT 06488
Phone (203) 262-1911
80 Route 6
Ste 704705
Baldwin Place, NY 10505
Phone (475) 253-2599
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Brookfield, CT
- NPI 1730479254
Physician Assistant
-
- Urgent Care Clinic/Center
- Bridgeport, CT
- NPI 1487087250
-
- Urgent Care Clinic/Center
- Baldwin Place, NY
- NPI 1154866879
-
dba Urgent Care of Southbury
- Urgent Care Clinic/Center
- Southbury, CT
- NPI 1194993980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735344000000",
"number": "1619419256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 1/2 PEMBROKE RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068112954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 1/2 PEMBROKE RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068112954",
"telephone_number": "203-743-6471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FACER",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-14",
"last_updated": "2024-12-28",
"certification_date": "2024-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "6348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.