Anthony Daniel Angotta, PA-C
Individual provider Active NPI Physician Assistant · Hartford, CT
NPI 1730815465 · NPPES record last updated Nov 14, 2022
Key facts
- NPI
- 1730815465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5785 (CT)
- Practice address
- 282 Washington St
Hartford, CT 06106-3322 - Phone
- (860) 545-9000
- NPI assigned
- Jul 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20220825003554 | CT | Practitioner - Physician Assistant | 6709260698 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children'S Specialty Group, Inc. | Physician Assistant | Current |
Accepting new patients |
| Connecticut Children'S Medical Center | Past | Accepting new patients |
Locations
105 Newtown Rd
#A
Danbury, CT 06810
Phone (860) 545-9395
399 Farmington Ave
Lowr 1
Farmington, CT 06032
505 Farmington Ave
Farmington, CT 06032
Phone (860) 837-6700
10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560
282 Washington St
Fl 1
Hartford, CT 06106
Phone (860) 545-9120
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
100 Retreat Ave
Hartford, CT 06106
Phone (860) 244-0148
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
1281 E Main St
Ste 3
Stamford, CT 06902
Phone (860) 545-9200
191 Post Rd W
#1
Westport, CT 06880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5785 | CT | Yes |
Addresses
Primary practice location
282 Washington St
Hartford, CT 06106-3322
Mailing address
35 Asbury Rd
Trumbull, CT 06611-1840
Phone (203) 895-5102
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aangotta68585@connecticutchildrens.direct-ci.com |
Other providers in Hartford, CT
- Andrea Marie Andrews
- Kim Margret Andrews
- Chan Andries
- Arleen Andujar
- Angel Touchedhealthcare LLC
- Maritza Angulo de Gonzalez
- Mythri Anil Kumar
- Belinda Anne
- Maia Annunziato
- Joseph T Anquillare Sr.
All providers in Hartford, CT · 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 Nov 14, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.