Active NPI
Rosanne Deangelis, PA-C
- Surgical Physician Assistant
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 25MP00191800
- Practice address
- 355 Grand St
Jersey City, NJ 07302-4321 - Phone
- (201) 915-2505
- NPI assigned
- Nov 30, 2007
- Last updated
- Nov 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 25MP00191800 | NJ | Primary |
Addresses
Primary practice location
355 Grand St
Jersey City, NJ 07302-4321
Mailing address
355 Grand St
Jersey City, NJ 07302-4321
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1470 Madison Ave
New York, NY 10029-6542
Phone (212) 241-8426
5 E 98TH St
New York, NY 10029-6501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014337 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Past | Accepting new patients |
Locations
300 Cadman Plz W
Fl 18
Brooklyn, NY 11201
Phone (929) 210-6000
3131 Kings Hwy
Ste A4
Brooklyn, NY 11234
Phone (718) 758-1500
3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000
3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
10 Union Sq E
New York, NY 10003
Phone (212) 253-6800
1090 Amsterdam Ave
Fl 3
New York, NY 10025
Phone (212) 523-8333
1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
1176 5th Ave
Lbby
New York, NY 10029
1468 Madison Ave
#175
New York, NY 10029
Phone (212) 241-8333
1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806
17 E 102nd St
#Stste6D
New York, NY 10029
310 E 14th St
New York, NY 10003
Phone (212) 979-4000
325 W 15th St
New York, NY 10011
Phone (212) 523-5938
425 W 59th St
Ste 6C
New York, NY 10019
Phone (212) 523-7786
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
dba Anesthesiology Department of Mount Sinai
- Anesthesiology Physician
- New York, NY
- NPI 1710324041
-
dba Mount Sinai Dermatopathology Services III
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Emergency Medicine Physician
- New York, NY
- NPI 1891757340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1225210321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 GRAND ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 GRAND ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024321",
"telephone_number": "201-915-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEANGELIS",
"first_name": "ROSANNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-30",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NJ",
"license": "25MP00191800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
- Carrie E De Los Reyes, LAC
- Elizabeth De Los Santos, RBT-20-115749
- Girlene Barbon De Paiva Coughlin, R.D.
- Anne De Rosairo, MD
- Angelica Villacorta De Vera
- Dear Tooth Fairy Pediatric Dentistry & Family Orthodontics LLC
- Andy Debaun, LCSW
- Jillian Debenedetto, LCSW
- Dennis Anthony Debernardis, DO
- Christina Marie Dedeo, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.