Organization Active NPI

Anna Lerner Angeles MD PC

  • Internal Medicine Physician
  • Commack, NY
National Provider Identifier
1093014367
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
220872 Issued in NY
Legal business name
ANNA LERNER ANGELES MD PC
Practice address
2171 Jericho Tpke Ste 300
Commack, NY 11725-2912
Phone
(631) 670-6701
Fax
(631) 670-6704
NPI assigned
Mar 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Anna Lerner Angeles, MD
Title
Owner
Phone
(631) 670-6701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 220872 NY Primary

Addresses

Primary practice location

2171 Jericho Tpke Ste 300
Commack, NY 11725-2912

Mailing address

2171 Jericho Tpke Ste 300
Commack, NY 11725-2912
Phone (631) 670-6701

National Provider Directory

National Provider Directory

Locations

2171 Jericho Tpke
Ste 300
Commack, NY 11725
Phone (631) 406-0006

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1093014367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE STE 300",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252912",
            "telephone_number": "631-670-6701",
            "fax_number": "631-670-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE STE 300",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252912",
            "telephone_number": "631-670-6701",
            "fax_number": "631-670-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA LERNER ANGELES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "LERNER ANGELES",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-670-6701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.