Individual provider Active NPI

Philip Joseph Angello, M.D.

  • Family Medicine Physician
  • Colts Neck, NJ
National Provider Identifier
1083601934
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA66726 Issued in NJ
Practice address
281 Route 34 Ste 813
Colts Neck, NJ 07722-2440
Phone
(732) 431-2620
Fax
(732) 431-3707
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA66726 NJ Primary

Addresses

Primary practice location

281 Route 34 Ste 813
Colts Neck, NJ 07722-2440

Mailing address

281 Route 34 Ste 813
Colts Neck, NJ 07722-2440
Phone (732) 431-2620

Other identifiers 1

IdentifierTypeStateIssuer
8101302MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050927001408 NJ Practitioner - Family Practice 5193750370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

281 State Route 34
Suite 813
Colts Neck, NJ 07722-2440
Phone (732) 431-2620

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA66726NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Family Medicine CurrentSince Jun 22, 2021 Accepting new patients
Clinical Staffing Solutions P.C. Past Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Past Accepting new patients
Hera Inpatient Services Past Accepting new patients

Locations

281 State Route 34
Ste 813
Colts Neck, NJ 07722
Phone (732) 431-2620

225 Willow Brook Rd
Ste 9
Freehold, NJ 07728
Phone (732) 462-0100

225 Willow Brook Rd
#C
Freehold, NJ 07728
Phone (732) 462-9622

312 Applegarth Rd
Ste 107
Monroe Township, NJ 08831
Phone (609) 395-2939

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

Interoperability endpoints

  • Direct secure messaging: pangello409033@direct.ahsys.org
  • Direct secure messaging: philip.angello.p1@direct.fpcs.nextgenshare.com

Organizations & group practices 4

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 5

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1083601934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 ROUTE 34 STE 813",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222440",
            "telephone_number": "732-431-2620",
            "fax_number": "732-431-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 ROUTE 34 STE 813",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222440",
            "telephone_number": "732-431-2620",
            "fax_number": "732-431-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELLO",
        "first_name": "PHILIP",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA66726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8101302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

Verify at the official NPI Registry.