Angela C Cavanna, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

187748 Issued in NY

Practice address

17 Glenn Pond Road
Suite 3
Red Hook, NY 12571-1824

Phone

(845) 758-6046

Fax

(845) 758-6051

NPI assigned

Sep 16, 2005

Last updated

Aug 29, 2012By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: acavanna@direct.health-quest.org
• Direct secure messaging: acavanna@hiemail.healtheconnections.org

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.

• Prime Care Physicians, P.L.L.C.

  dba Health Stream Medical Associates

  • Internal Medicine Physician
  • Red Hook, NY
  • NPI 1124013040
  Authorized official Same address or phone
• Prime Care Physicians, P.L.L.C.

  • Cardiovascular Disease Physician
  • Albany, NY
  • NPI 1285627075

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1063407989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GLENN POND ROAD",
            "address_2": "SUITE 3",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125711824",
            "telephone_number": "845-758-6046",
            "fax_number": "845-758-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GLENN POND ROAD",
            "address_2": "SUITE 3",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125711824",
            "telephone_number": "845-758-6046",
            "fax_number": "845-758-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANNA",
        "first_name": "ANGELA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "187748",
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NY",
            "license": "187748",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01635890",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Bump
• Elizabeth Chiara Burns, OSC
• Suzanne Sheila Button, PH.D.
• Cardiology Consultants of Westchester, PC
• Diane Marie Carson, PT
• James George Cayea, OD
• Margaret Mary Cayea, PT
• Ann B. Chase, N.P. (NURSE PRACTITI
• Joshua Clifford Chason, ATC, CSCS
• Gloria C Cigolini Depietro, MS, ATR, LCAT

• Internal Medicine Physician in Red Hook, NY
• Providers in Red Hook, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.