Individual provider Active NPI

Evangeline Soriano Macatangay I, MD

  • General Acute Care Hospital
  • Huntingdon Valley, PA
National Provider Identifier
1164557765
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
MD036270L Issued in PA
Practice address
60 Welsh Rd
Huntingdon Valley, PA 19006-6746
Phone
(215) 947-5373
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X MD036270L PA Primary
Internal Medicine Physician 207R00000X MD036270L PA

Addresses

Primary practice location

60 Welsh Rd
Huntingdon Valley, PA 19006-6746

Mailing address

60 Welsh Rd
Huntingdon Valley, PA 19006-6746
Phone (215) 947-5373

Other identifiers 1

IdentifierTypeStateIssuer
0075815900001MedicaidPA

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
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1164557765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WELSH RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066746",
            "telephone_number": "215-947-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WELSH RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066746",
            "telephone_number": "215-947-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACATANGAY",
        "first_name": "EVANGELINE",
        "middle_name": "SORIANO",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "MD036270L",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD036270L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075815900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.