Elizabeth Schisa D Angelo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

035935-1 Issued in NY

Practice address

1497 Abbott Rd
Lackawanna, NY 14218-2057

Phone

(716) 825-5020

Fax

(716) 823-7115

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Elizabeth D Angelo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southtowns Dental Services PC

  • Dental Hygienist
  • Lackawanna, NY
  • NPI 1982616033
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083767263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 ABBOTT RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142182057",
            "telephone_number": "716-825-5020",
            "fax_number": "716-823-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 ABBOTT RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142182057",
            "telephone_number": "716-825-5020",
            "fax_number": "716-823-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHISA D ANGELO",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035935-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "D ANGELO",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Hill Sandino, M.S., ED.
• Susan M Santarpia, PHD
• Sheila Mary Schiavone, RPH
• Barbara L. Schiavoni, LCSW-R
• Elizabeth A Schichtel, LMT
• Marissa Ann Schmitz
• Emma Michelle Schucker, DPT
• Alexandria Schultz, PAC
• Sarah Schultz, PHARM.D.
• Bridget Schuster, SERVICE COORDINATOR

• General Practice Dentistry in Lackawanna, NY
• Providers in Lackawanna, NY by specialty
• General Practice Dentistry in New York

• 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.

Verify at the official NPI Registry.