Active NPI
Maria M D'Angelo, MD
- Pediatrics Physician
- Nanuet, NY
National Provider Identifier
1023182714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 148983
- Practice address
- 35 Smith St
Nanuet, NY 10954-2914 - Phone
- (845) 623-7100
- Fax
- (845) 732-8440
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 148983 | NY | Primary |
Addresses
Primary practice location
35 Smith St
Nanuet, NY 10954-2914
Mailing address
35 Smith St
Nanuet, NY 10954-2914
Phone (845) 623-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00854100 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148983 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerson Pediatric Associates, PC | Past | Accepting new patients |
Organizations & group practices 1
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": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023182714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 SMITH ST",
"city": "NANUET",
"state": "NY",
"postal_code": "109542914",
"telephone_number": "845-623-7100",
"fax_number": "845-732-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 SMITH ST",
"city": "NANUET",
"state": "NY",
"postal_code": "109542914",
"telephone_number": "845-623-7100",
"fax_number": "845-732-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ANGELO",
"first_name": "MARIA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "148983",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00854100",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.