Individual provider Active NPI

Anne Marie Clare Tarangelo, DMD

  • General Practice Dentistry
  • Orangeburg, NY
National Provider Identifier
1245430255
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043507 Issued in NY
Practice address
516 Route 303
Orangeburg, NY 10962-1352
Phone
(845) 359-2221
Fax
(845) 359-2243
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 043507 NY Primary

Addresses

Primary practice location

516 Route 303
Orangeburg, NY 10962-1352

Mailing address

516 Route 303
Orangeburg, NY 10962-1352
Phone (845) 359-2221

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160819001414 NY Practitioner - Oral Surgery 8527353242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043507NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jawonio Inc CurrentSince Jun 8, 2016 Accepting new patients
Jawonio Inc Current Accepting new patients
Jawonio Inc CurrentSince Jun 8, 2016 Accepting new patients

Locations

260 N Little Tor Rd
New City, NY 10956
Phone (845) 634-4648

260 N Little Tor Rd
#D
New City, NY 10956
Phone (845) 708-2000

775 N Main St
#D
Spring Valley, NY 10977
Phone (845) 708-2000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1245430255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 ROUTE 303",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621352",
            "telephone_number": "845-359-2221",
            "fax_number": "845-359-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 ROUTE 303",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621352",
            "telephone_number": "845-359-2221",
            "fax_number": "845-359-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANGELO",
        "first_name": "ANNE MARIE",
        "middle_name": "CLARE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

Verify at the official NPI Registry.