Individual provider Active NPI

Angela Luongo, CRNP

  • Family Nurse Practitioner
  • Kingston, PA
National Provider Identifier
1093991911
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TP005704B Issued in PA
Practice address
382 Pierce St
Kingston, PA 18704-5535
Phone
(570) 288-7231
NPI assigned
Jan 10, 2008
Last updated
Jan 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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 TP005704B PA Primary

Addresses

Primary practice location

382 Pierce St
Kingston, PA 18704-5535

Mailing address

382 Pierce St
Kingston, PA 18704-5535
Phone (570) 288-7231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080709000112 PA Practitioner - Nurse Practitioner 8224100235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Oncology Associates of Wyoming Valley, PC CurrentSince Feb 1, 2008 Accepting new patients

Locations

382 Pierce St
Kingston, PA 18704
Phone (570) 288-7231

Interoperability endpoints

  • Direct secure messaging: angela.luongo@moawv.ikm.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1093991911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045535",
            "telephone_number": "570-288-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045535",
            "telephone_number": "570-288-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONGO",
        "first_name": "ANGELA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP005704B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.