1. Home
  2. Directory
  3. Connecticut
  4. Danbury
  5. Physician Assistant
  6. NPI Profile

PHILIP BLACK ATC, PA-C
NPI 1023587094
Physician Assistant - Surgical in Danbury, CT

Active since November 19, 2018PECOS EnrolledAccepts Medicare Assignment
2 RIVERVIEW DR, DANBURY, CT 06810(203) 797-1500 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Jan 10, 2019, Nov 19, 2018 (3 updates tracked since 2018).

About Philip Black Atc, Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP BLACK ATC, PA-C (NPI 1023587094) is an individual surgical provider in Danbury, Connecticut, licensed in Connecticut (4359) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023587094
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NamePHILIP BLACKCredential: ATC, PA-C
Location Address2 RIVERVIEW DRDanbury, CT 06810-6268
Mailing Address2 Riverview DrDanbury, CT 06810-6268 · (203) 797-1500 · Fax (203) 702-6695
Phone(203) 797-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 19, 2018
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1023587094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 4359
2 RIVERVIEW DR, Danbury, CT 06810
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Philip Black Atc, Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234478041
PECOS Enrollment IDI20190221002612
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
18 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN PATRICK DUNLEAVY M.D.
Orthopaedic Surgery
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 797-1500
DOUGLAS ROSS HENSHAW MD
Orthopaedic Surgery
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 797-1500
KRISTIN MICHELLE APONTE PA-C
Physician Assistant (Surgical)
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 797-1500
MICHAEL D HOLLANDER MD
Radiology (Diagnostic Radiology)
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 426-3002
JAMES WARNER DEPUY MD
Orthopaedic Surgery
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 797-1500
PHILIP J MULIERI MD
Orthopaedic Surgery
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 797-1500
ZACHARY LANS MD
Anesthesiology
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 792-7246
MS. REBECCA GIUDITTA LICHTENWALNER PA-C
Physician Assistant
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 797-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Black's NPI number?

The NPI number for Philip Black is 1023587094. It was assigned to this individual provider in the NPPES registry on November 19, 2018.

Where is Philip Black located?

Philip Black practices at 2 Riverview Dr, Danbury, CT 06810. The listed phone number is (203) 797-1500.

What is Philip Black's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Philip Black enrolled in Medicare?

Yes. Philip Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Philip Black was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.