Dana L Bogacz, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

82767 Issued in CT

Practice address

100 Melrose Ave Ste 206
Greenwich, CT 06830-6277

Phone

(347) 578-0196

NPI assigned

Mar 2, 2022

Last updated

Mar 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Experienced Pediatrics

  • Nursing Care Agency
  • Greenwich, CT
  • NPI 1750510764
  NPD (past)

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1699422329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 STRATFORD RD",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157762",
            "telephone_number": "203-521-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MELROSE AVE STE 206",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306277",
            "telephone_number": "347-578-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGACZ",
        "first_name": "DANA",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "82767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanore Kristy Black, M.D.
• Blackfin Capital
• Bluebird Day Therapy
• Joel Myron Blumberg, M.D.
• Sotonye Bobojama
• Mieke Boggs
• Ann Monica Boisvert, NP
• Steven Boksenbaum, PH.D.
• Joseph Raymond Boldt II, DMD
• Mary E Bolger, PHD

• Registered Nurse in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.