Gabriel Francis Deangelis, MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

099931 Issued in NY

Practice address

16215 Highland Ave
Jamaica, NY 11432-3452

Phone

(718) 657-8171

Fax

(718) 657-0548

NPI assigned

Oct 14, 2005

Last updated

Nov 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• New York University

  dba NYU Faculty Group Practice

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  Internal Medicine, NY

  Medicare reassignment NPD
• Gabriel F. Deangelis MD PC

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1578727194
  Authorized official Same address or phone
• New York University

  dba NYU Langone Ambulatory Care Chelsea

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613

  Internal Medicine

  NPD

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1235128067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16215 HIGHLAND AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323452",
            "telephone_number": "718-657-8171",
            "fax_number": "718-657-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16215 HIGHLAND AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323452",
            "telephone_number": "718-657-8171",
            "fax_number": "718-657-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "GABRIEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "MD PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "099931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HN",
            "identifier": "0C3405",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "475721",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5424948002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth De Leon
• Joanne De Leon, OTR/L
• Kevin De Los Reyes, DO
• Kariz Mae Galano De Los Santos
• Jesel May Lacana De Tomas
• Dana Debari
• Damany Deberry, LMSW
• Cristina R Decena
• Vincent J Decurtis, CRPA
• Aleesha Deen-Nandkisure

• Internal Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.