Active NPI
Angelica Candaza
- Physical Therapist
- Monsey, NY
National Provider Identifier
1104269380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 018794
- Practice address
- 23 Robert Pitt Dr
Monsey, NY 10952-3373 - Phone
- (845) 625-2810
- NPI assigned
- Apr 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 018794 | NY | Primary |
Addresses
Primary practice location
23 Robert Pitt Dr
Monsey, NY 10952-3373
Mailing address
10602 86TH St
Ozone Park, NY 11417-1308
Phone (845) 625-2810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018794 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stern at Home Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
| Genesis Medical Health PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Physician
- Spring Valley, NY
- NPI 1295043099
-
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1104269380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10602 86TH ST",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114171308",
"telephone_number": "845-625-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 ROBERT PITT DR",
"city": "MONSEY",
"state": "NY",
"postal_code": "109523373",
"telephone_number": "845-625-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANDAZA",
"first_name": "ANGELICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-08",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "018794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monsey, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.