Individual provider Active NPI

John D'Angelo, MD

  • Emergency Medicine Physician
  • Glen Cove, NY
National Provider Identifier
1003886854
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
219231 Issued in NY
Practice address
101 Saint Andrews LN
Glen Cove, NY 11542-2254
Phone
(516) 674-7325
Fax
(516) 674-7937
NPI assigned
Jan 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 219231 NY Primary

Addresses

Primary practice location

101 Saint Andrews LN
Glen Cove, NY 11542-2254

Mailing address

972 Brush Hollow Rd
Westbury, NY 11590-1740
Phone (516) 876-5555

Other identifiers 1

IdentifierTypeStateIssuer
02163606MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070925000383 NY Practitioner - Emergency Medicine 6103910807 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Jewish Medical Center at Home Pharmacy Inc PastSince Oct 1, 2025 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Ownership & related parties

All facility ownership & control disclosures 24

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Staten Island University HospitalStaten Island, NY, CCN 330160 Hospital Corporate Officer Jan 1, 2025
Putnam Hospital CenterCarmel, NY, CCN 330273 Hospital Corporate Officer
Corporate Director
Oct 1, 2025
Oct 1, 2025
Peconic Bay Medical CenterRiverhead, NY, CCN 330107 Hospital Corporate Officer Jan 1, 2025
Putnam Hospital CenterCarmel, NY, CCN 33S273 Hospital Corporate Officer
Corporate Director
Oct 1, 2025
Oct 1, 2025
Long Island Jewish Medical CenterNew Hyde Park, NY, CCN 33S195 Hospital Corporate Officer Jan 1, 2025
Lenox Hill HospitalNew York, NY, CCN 330119 Hospital Corporate Officer Jan 1, 2025
Staten Island University HospitalStaten Island, NY, CCN 33T160 Hospital Corporate Officer Jan 1, 2025
Staten Island University Hospital Prince's BayStaten Island, NY, CCN 33S160 Hospital Corporate Officer Jan 1, 2025
Danbury HospitalDanbury, CT, CCN 070033 Hospital Corporate Officer
Corporate Director
Oct 1, 2025
Oct 1, 2025
Norwalk HospitalNorwalk, CT, CCN 07S034 Hospital Corporate Officer
Corporate Director
Oct 1, 2025
Oct 1, 2025
Psychiatric Sub Provider Hospital UnitSleepy Hollow, NY, CCN 33S261 Hospital Corporate Officer Jan 1, 2025
Huntington Hospital AssociationHuntington, NY, CCN 33S045 Hospital Corporate Officer Jan 1, 2025
Northern Dutchess HospitalRhinebeck, NY, CCN 330049 Hospital Corporate Officer
Corporate Director
Oct 1, 2025
Oct 1, 2025
Long Island Jewish Medical CenterNew Hyde Park, NY, CCN 330195004 Hospital Corporate Officer Jan 1, 2025
Vassar Brothers Medical CenterPoughkeepsie, NY, CCN 330023 Hospital Corporate Officer
Corporate Director
Oct 1, 2025
Oct 1, 2025
Danbury HospitalDanbury, CT, CCN 07S033 Hospital Corporate Officer
Corporate Director
Oct 1, 2025
Oct 1, 2025
Danbury HospitalDanbury, CT, CCN 07T033 Hospital Corporate Officer
Corporate Director
Oct 1, 2025
Oct 1, 2025
Northern Dutchess Hospital RehabRhinebeck, NY, CCN 33T049 Hospital Corporate Officer
Corporate Director
Jan 1, 2026
Jan 1, 2026
Lenox Hill HospitalNew York, NY, CCN 33S119 Hospital Corporate Officer Jan 1, 2025
Danbury HospitalNew Milford, CT, CCN 7003301 Hospital Corporate Officer
Corporate Director
Oct 1, 2025
Oct 1, 2025
Sharon HospitalSharon, CT, CCN 07S004 Hospital Corporate Officer
Corporate Director
Oct 1, 2025
Oct 1, 2025
Sharon HospitalSharon, CT, CCN 070004 Hospital Corporate Officer
Corporate Director
Oct 1, 2025
Oct 1, 2025
Health Quest Home Care, Inc. (Certified)Poughkeepsie, NY, CCN 337230 Home health agency Corporate Director Jan 1, 2026
Staten Island University Hospital, University HospiceStaten Island, NY, CCN 331551 Hospice Corporate Officer Jan 1, 2025

Owned or controlled facilities with NPI records 25

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 25

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003886854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 BRUSH HOLLOW RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901740",
            "telephone_number": "516-876-5555",
            "fax_number": "516-876-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAINT ANDREWS LN",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422254",
            "telephone_number": "516-674-7325",
            "fax_number": "516-674-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "219231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02163606",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.