Individual provider Active NPI

Angie Ruth Hylton

  • Family Nurse Practitioner
  • Greenlawn, NY
National Provider Identifier
1043634009
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338335 Issued in NY
Practice address
284 Pulaski Rd
Greenlawn, NY 11740-1602
Phone
(631) 425-5250
Fax
(631) 425-4197
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F338335 NY Primary

Addresses

Primary practice location

284 Pulaski Rd
Greenlawn, NY 11740-1602

Mailing address

284 Pulaski Rd
Greenlawn, NY 11740-1602
Phone (631) 425-5250

Other identifiers 2

IdentifierTypeStateIssuer
03879994MedicaidNY
00695941MedicaidNY

Other names 1

  • Angie Ruth Gauthier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140828001048 NY Practitioner - Nurse Practitioner 1951529254 Reassigns benefits to 1 organization
I20210920002372 CT Practitioner - Nurse Practitioner 1951529254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Health of New England Urgent Care PLLCGroup PAC ID 9436561388, 10 clinicians

Practice addresses (Care Compare)

1312 W Main St
Waterbury, CT 06708-3121
Phone (203) 709-4030

56 Franklin St
Waterbury, CT 06706-1253
Phone (203) 709-6000

Hospital & facility affiliations

  • Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F338335NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Urgent Care PLLC CurrentSince Jan 19, 2025 Accepting new patients
Haven Health & Wellness Current Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Dec 19, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Dec 19, 2021 Accepting new patients
Huntington Hospital Dolan Family Health Center CurrentSince Jan 4, 2017 Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

58 Maple St
Naugatuck, CT 06770
Phone (203) 723-5636

166 Waterbury Rd
Ste 300
Prospect, CT 06712
Phone (203) 709-5300

1312 W Main St
Waterbury, CT 06708
Phone (203) 709-4575

418 Broadway
Ste R
Albany, NY 12207
Phone (631) 312-3656

284 Pulaski Rd
Greenlawn, NY 11740
Phone (631) 425-5250

1572 New York Ave
Huntington Station, NY 11746
Phone (631) 425-5250

Interoperability endpoints

  • Direct secure messaging: ahylton2389324@direct.trinity-health.org
  • Direct secure messaging: angie.gauthier@chn.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1043634009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 PULASKI RD",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401602",
            "telephone_number": "631-425-5250",
            "fax_number": "631-425-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 PULASKI RD",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401602",
            "telephone_number": "631-425-5250",
            "fax_number": "631-425-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYLTON",
        "first_name": "ANGIE",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03879994",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "GAUTHIER",
            "middle_name": "RUTH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenlawn, NY

Sources for this page

Verify at the official NPI Registry.