NPIMap

Organization Active NPI

Nutritional Care Consultants, PC

  • Internal Medicine Physician
  • Darby, PA
National Provider Identifier
1184836207
Registry record updated May 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS007232L Issued in PA
Legal business name
NUTRITIONAL CARE CONSULTANTS, PC
Practice address
1501 Lansdowne Ave
Suite 108
Darby, PA 19023
Phone
(610) 534-6357
NPI assigned
May 3, 2007
Last updated
May 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2010

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

Authorized official

Name
Dr. David Dangelo, D.O.
Title
President
Phone
(610) 534-6357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS007232L PA Primary

Addresses

Primary practice location

1501 Lansdowne Ave
Suite 108
Darby, PA 19023

Mailing address

PO Box 777
Broomall, PA 19008

National Provider Directory

National Provider Directory

Locations

1501 Lansdowne Ave
Ste 108
Darby, PA 19023
Phone (610) 534-6357

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275264000000",
    "number": "1184836207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "19008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE",
            "address_2": "SUITE 108",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "19023",
            "telephone_number": "610-534-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITIONAL CARE CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-05-31",
        "status": "A",
        "authorized_official_last_name": "DANGELO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-534-6357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS007232L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2010; 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.