Individual provider Active NPI

Angela Arnold Ross, MS, LCGC

  • Genetic Counselor (M.S.)
  • Upper Saddle River, NJ
National Provider Identifier
1134834369
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
25MJ00029500 Issued in NJ
Practice address
3 Carlough Rd
Upper Saddle River, NJ 07458-1803
Phone
(646) 934-0675
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 25MJ00029500 NJ Primary

Addresses

Primary practice location

3 Carlough Rd
Upper Saddle River, NJ 07458-1803

Mailing address

3 Carlough Rd
Upper Saddle River, NJ 07458-1803
Phone (646) 934-0675

Other identifiers 1

IdentifierTypeStateIssuer
25MJ00029500OtherNJGENETIC COUNSELING ADVISORY COMMITTEE LICENCE

Other names 1

  • Angela G Arnold Professional name

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
25MJ00029500NJMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1134834369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CARLOUGH RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581803",
            "telephone_number": "646-934-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CARLOUGH RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581803",
            "telephone_number": "646-934-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ANGELA",
        "middle_name": "ARNOLD",
        "credential": "MS, LCGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NJ",
            "license": "25MJ00029500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENETIC COUNSELING ADVISORY COMMITTEE LICENCE",
            "identifier": "25MJ00029500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ARNOLD",
            "middle_name": "G",
            "credential": "MS, LCGC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Upper Saddle River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.