Angelina Melissa Candelario

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

329214-1 Issued in NY

Practice address

4 Ridgewood Ave
Brentwood, NY 11717-2106

Phone

(813) 453-4118

NPI assigned

Nov 7, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1104339530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RIDGEWOOD AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117172106",
            "telephone_number": "813-453-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RIDGEWOOD AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117172106",
            "telephone_number": "813-453-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIO",
        "first_name": "ANGELINA",
        "middle_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "329214-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Calabro, MS, OTR/L
• Lindsey Calderone, LMSW
• Francene A. Campbell, LCSW
• Ronald Campbell, RN
• Campos Optical, Inc.
• Consuelo Norwood Cannon, R.N.
• Siegfreid Capistrano, DPT
• Antonio Caravello
• Olivia Cardone
• Odalie S Cardoza

• Licensed Practical Nurse in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.