Individual provider Active NPI

Angela A. Andalcio, NP

  • Family Nurse Practitioner
  • Laurelton, NY
National Provider Identifier
1124235890
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F334622-1 Issued in NY
Practice address
13051 228TH St
Laurelton, NY 11413-1742
Phone
(917) 209-4606
Fax
(718) 978-2917
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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 F334622-1 NY Primary

Addresses

Primary practice location

13051 228TH St
Laurelton, NY 11413-1742

Mailing address

13051 228TH St
Laurelton, NY 11413-1742
Phone (516) 800-2279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070629000577 NY Practitioner - Nurse Practitioner 9931208063 Reassigns benefits to 8 organizations
Practice locations: Brooklyn, NY; Laurelton, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doral Medical and Multi Specialty Facility LLCGroup PAC ID 9830528645, 53 clinicians

Practice addresses (Care Compare)

1797 Pitkin Ave
Suite 2
Brooklyn, NY 11212-7844
Phone (718) 971-1944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F334622-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
1977 Mesk Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Nurse Practitioner in Family Health PLLC Family Medicine CurrentSince Mar 30, 2025 Accepting new patients
Doral Medical and Multi Specialty Facility LLC CurrentSince May 7, 2024 Accepting new patients
RB Adult Health NP PC Adult Medicine CurrentSince Dec 1, 2025 Accepting new patients
1977 Mesk Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Just Care Nurse Practitioner in Family Health Practice PLLC Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Digestive Disease Care, PC Past Accepting new patients
Landmark Health of Oregon LLC PastSince Mar 19, 2018 Accepting new patients
Urban Family Practice PC Family Medicine Past Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
Summit Medical Group, PLLC Family Medicine PastSince Aug 20, 2019 Accepting new patients

Locations

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436

Interoperability endpoints

  • Direct secure messaging: aandalcio@landmarkhealth-direct.org
  • Direct secure messaging: angela.andalcio.1@30409.direct.athenahealth.com
  • Direct secure messaging: angela.andalcio.1@27852.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1124235890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13051 228TH ST",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114131742",
            "telephone_number": "516-800-2279",
            "fax_number": "718-978-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13051 228TH ST",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114131742",
            "telephone_number": "917-209-4606",
            "fax_number": "718-978-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDALCIO",
        "first_name": "ANGELA",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334622-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurelton, NY

Sources for this page

Verify at the official NPI Registry.