Caroline F Kane-Civitano, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001106 Issued in CT

Practice address

105 Newtown Rd
Suite 1a
Danbury, CT 06810-4194

Phone

(203) 790-4511

NPI assigned

Aug 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053
  Medicare reassignment
• Western Connecticut Primary Care P.C.

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1194917427
  NPD (past)

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952534612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NEWTOWN RD",
            "address_2": "SUITE 1A",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104194",
            "telephone_number": "203-790-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NEWTOWN RD",
            "address_2": "SUITE 1A",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104194",
            "telephone_number": "203-790-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE-CIVITANO",
        "first_name": "CAROLINE",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010710",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "001106",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "010710",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fatima Awsar Kamal, M.D.
• Ankita Ravindra Kamat-Cardwell, PA-C
• Kanishka Sadananda Kamath
• Yoga Kammili
• Patricia Anne Kane-Carlsen, APRN
• Clare Marie Kane
• Michael P Kane, D.C.
• Jeanwan Kang, M.D.
• Tracy Kania
• Sandhya Rani Kantamaneni

• Physician Assistant in Danbury, CT
• Providers in Danbury, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.