Amy Calabrese, PA-C
Individual provider Active NPI Surgical Physician Assistant · Danbury, CT
NPI 1730734864 · NPPES record last updated Aug 22, 2019
Key facts
- NPI
- 1730734864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 4538 (CT)
- Practice address
- 24 Hospital Ave
Danbury, CT 06810-6099 - Phone
- (203) 739-7129
- Fax
- (203) 739-8054
- NPI assigned
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nuvance Health Medical Practice CT Inc
Practice addresses (Care Compare)
24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118
Hospital & facility affiliations
- Danbury Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191029001326 | CT | Practitioner - Physician Assistant | 1759613581 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4538 | CT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoconnecticut, PLLC | Current |
Accepting new patients | |
| Orthoconnecticut, PLLC | Current |
Accepting new patients | |
| Orthoconnecticut, PLLC | Surgical | Past | Accepting new patients |
Locations
2 Riverview Dr
Danbury, CT 06810
Phone (203) 798-9702
131 Kent Rd
New Milford, CT 06776
Phone (860) 350-3330
90 Grove St
Ste 107
Ridgefield, CT 06877
Phone (203) 431-6515
45 Danbury Rd
Ste 100
Wilton, CT 06897
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 4538 | CT | Yes |
Addresses
Primary practice location
24 Hospital Ave
Danbury, CT 06810-6099
Mailing address
24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 695-4751
NPI Registry JSON
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1730734864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 HOSPITAL AVE",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106099",
"telephone_number": "203-695-4751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 HOSPITAL AVE",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106099",
"telephone_number": "203-739-7129",
"fax_number": "203-739-8054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALABRESE",
"first_name": "AMY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "4538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
- Kimberly Byron
- Vahide Bytyqi
- Jakelinne E Caballero-Asta
- Cadence Wellness LLC
- Charles Clifford Cahn
- Andrew Caligiuri
- Jacqueline Callahan-Stewart
- Larissa Camano-Selca
- Tanya Cambronero
- Anthony Joseph Camillo
All providers in Danbury, CT · Surgical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.