Individual provider Active NPI

Amy E Drabik, PA-C

  • Medical Physician Assistant
  • Danbury, CT
National Provider Identifier
1629449103
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3445 Issued in CT
Practice address
69 Sand Pit Road
Suite 300
Danbury, CT 06810
Phone
(203) 748-2551
Fax
(203) 790-6375
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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 3445 CT Primary

Addresses

Primary practice location

69 Sand Pit Road
Suite 300
Danbury, CT 06810

Mailing address

69 Sand Pit Road
Suite 300
Danbury, CT 06810
Phone (203) 748-2551

Other names 1

  • Amy Rosentel Former name

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
I20160127000630 CT Practitioner - Physician Assistant 2668775537 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3445CTMDOccupational Therapist
003445CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Nov 30, 2021 Accepting new patients
Yale University CurrentSince Nov 30, 2021 Accepting new patients
Comprehensive Rehab Consultants PLLC CurrentSince May 17, 2023 Accepting new patients

Locations

2875 Main St
Bridgeport, CT 06606
Phone (203) 336-0232

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

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

642 Danbury Rd
Ridgefield, CT 06877
Phone (203) 288-6482

139 Toddy Hill Rd
Sandy Hook, CT 06482
Phone (203) 364-3110

494 Elm St
Stamford, CT 06902
Phone (203) 325-0200

6448 Main St
Trumbull, CT 06611
Phone (203) 268-6204

21 Maefair Ct
Trumbull, CT 06611
Phone (203) 459-5152

35 Bunker Hill Rd
Watertown, CT 06795
Phone (860) 274-5428

1 Emily Way
West Hartfrd, CT 06107
Phone (860) 561-7022

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1629449103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SAND PIT ROAD",
            "address_2": "SUITE 300",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-748-2551",
            "fax_number": "203-790-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 SAND PIT ROAD",
            "address_2": "SUITE 300",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-748-2551",
            "fax_number": "203-790-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRABIK",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "3445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "ROSENTEL",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.