Individual provider Active NPI

Angela Buzzeo, APRN

  • Reproductive Endocrinology/Infertility Registered Nurse
  • New York, NY
National Provider Identifier
1235282583
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology/Infertility Registered NurseTaxonomy code 163WR1000X
License
349003 Issued in NY
Practice address
1790 Broadway
New York, NY 10019-1412
Phone
(203) 532-9330
NPI assigned
Jan 19, 2007
Last updated
Jun 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 002286 CT
Registered Nurse 163W00000X R47715 CT
Reproductive Endocrinology/Infertility Registered Nurse 163WR1000X 349003 NY Primary

Addresses

Primary practice location

1790 Broadway
New York, NY 10019-1412

Mailing address

1790 Broadway
New York, NY 10019-1412
Phone (203) 532-9330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000441 CT Practitioner - Nurse Practitioner 8022110246 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R47715CTMDRegistered Nurse
002286CTMDOccupational Therapist
349003NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Centers Inc CurrentSince Aug 30, 2023 Accepting new patients
Family Centers Inc CurrentSince Aug 30, 2023 Accepting new patients
Family Centers Inc. Past Accepting new patients
NP Care, LLC Past Accepting new patients
Family Centers Inc Past Accepting new patients

Locations

111 Wilbur Peck Ct
Greenwich, CT 06830
Phone (203) 717-1760

20 Bridge St
Greenwich, CT 06830
Phone (203) 629-2822

51 Toms Rd
Stamford, CT 06906
Phone (203) 977-4441

Interoperability endpoints

  • Direct secure messaging: abuzzeo185324@direct.ynhh.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1235282583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191412",
            "telephone_number": "203-532-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191412",
            "telephone_number": "203-532-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZZEO",
        "first_name": "ANGELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002286",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "R47715",
            "primary": false
        },
        {
            "code": "163WR1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Reproductive Endocrinology/Infertility",
            "state": "NY",
            "license": "349003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.