Angelo Magno MD PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

165641 Issued in NY

Legal business name

ANGELO MAGNO MD PC

Practice address

207 Prospect Park W
Brooklyn, NY 11215-5797

Phone

(718) 832-3200

Fax

(718) 788-5419

NPI assigned

Sep 12, 2008

Organization subpart

No

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

Authorized official

Name

Angelo L Magno, MDNPI 1164422796

Title

President

Phone

(516) 254-4330

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Angelo Magno MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Angelo Magno MD PC

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1417208927
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelo L Magno, MD

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1164422796
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1104075217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PROSPECT PARK W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112158091",
            "telephone_number": "718-434-2082",
            "fax_number": "516-254-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PROSPECT PARK W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155797",
            "telephone_number": "718-832-3200",
            "fax_number": "718-788-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELO MAGNO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "MAGNO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-254-4330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "165641",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA05018400",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME 64504",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01392438",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelic Childcare Services LLC
• Angelic Childcare Services LLC
• Angelic Physical Therapy P.C.
• Angelina Optometry PC
• Angela Angelis, LCSW
• Angelo Magno MD PC
• Erika Michelle Angelone
• Popi Angelos, LCSWR
• Penilopa Angelova
• Katherine Angelucci

• Nephrology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.