Individual provider Active NPI

Amy E Handler, M.D.

  • Pediatrics Physician
  • Danbury, CT
National Provider Identifier
1801065677
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
049104 Issued in CT
Practice address
57 North St
Suites 309-311
Danbury, CT 06810-5660
Phone
(203) 743-0100
Fax
(203) 731-5268
NPI assigned
Feb 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 1842031 NY
Pediatrics Physician 208000000X 049104 CT Primary

Addresses

Primary practice location

57 North St
Suites 309-311
Danbury, CT 06810-5660

Mailing address

57 North St
Suites 309-311
Danbury, CT 06810-5660
Phone (203) 743-0100

Other identifiers 1

IdentifierTypeStateIssuer
8035068MedicaidCT

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120426000162 CT Practitioner - Pediatric Medicine 8123061330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
049104CTMDPediatrics Physician
1842031NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Institute for Communities Inc CurrentSince Mar 11, 2012 Accepting new patients
Connecticut Institute for Communities Inc CurrentSince Mar 11, 2012 Accepting new patients

Locations

120 Main St
#4
Danbury, CT 06810

57 North St
Ste 309
Danbury, CT 06810
Phone (203) 794-0761

57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007

57 North St
#309311
Danbury, CT 06810
Phone (203) 794-0761

120 Main St
Fl 4
Danbury, CT 06810
Phone (203) 456-1405

70 Main St
Danbury, CT 06810
Phone (203) 739-8100

120 Main St
Danbury, CT 06810
Phone (203) 456-1406

Interoperability endpoints

  • Direct secure messaging: amy.handler@gdchc.eclinicaldirectplus.com

Organizations & group practices 2

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1801065677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 NORTH ST",
            "address_2": "SUITES 309-311",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105660",
            "telephone_number": "203-743-0100",
            "fax_number": "203-731-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 NORTH ST",
            "address_2": "SUITES 309-311",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105660",
            "telephone_number": "203-743-0100",
            "fax_number": "203-731-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDLER",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "1842031",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "049104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8035068",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.