Active NPI
Salvatore Dangelo, M D
- Allergy & Immunology (Internal Medicine) Physician
- Ridgewood, NJ
National Provider Identifier
1245215664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- 25MA02961200
- Practice address
- 71 S Maple Ave
Ridgewood, NJ 07450-4509 - Phone
- (201) 445-4557
- Fax
- (201) 445-2365
- NPI assigned
- Dec 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA29612 | NJ | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 25MA02961200 | NJ | Primary |
Addresses
Primary practice location
71 S Maple Ave
Ridgewood, NJ 07450-4509
Mailing address
71 S Maple Ave
Ridgewood, NJ 07450-4509
Phone (201) 445-4557
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0493902 | Medicaid | NJ | |
| 1111081 | Other | NJ | HORIZON N.J. FAMILYCARE |
| 1161071 | Other | NJ | HORIZON N.J. FAMILYCARE |
| 01078270 | Other | NJ | AMERIGROUP |
| 0150142000 | Other | NJ | AMERIHEALTH |
| P3284699 | Other | NJ | OXFORD |
| 8328385 | Other | NJ | CIGNA |
| 8828709 | Medicaid | NJ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA29612 | NJ | MD | Specialist |
| 25MA02961200 | NJ | MD | Allergy & Immunology (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481846400000",
"number": "1245215664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 S MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074504509",
"telephone_number": "201-445-4557",
"fax_number": "201-445-2365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 S MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074504509",
"telephone_number": "201-445-4557",
"fax_number": "201-445-2365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANGELO",
"first_name": "SALVATORE",
"name_prefix": "Dr.",
"credential": "M D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2016-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA29612",
"primary": false
},
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "NJ",
"license": "25MA02961200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0493902",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON N.J. FAMILYCARE",
"identifier": "1111081",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON N.J. FAMILYCARE",
"identifier": "1161071",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01078270",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0150142000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3284699",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8328385",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8828709",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.