Organization Active NPI

The a Men of Sarasota Inc

  • General Practice Physician
  • Venice, FL
National Provider Identifier
1245864438
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
THE A MEN OF SARASOTA INC
Practice address
1511 Tamiami TRL S
Venice, FL 34285-5578
Phone
(941) 218-6839
Fax
(941) 218-6813
NPI assigned
Feb 26, 2020
Last updated
Feb 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Authorized official

Name
Nicholas J Angelastro, MDNPI 1033193222
Title
MD
Phone
(941) 218-6839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1511 Tamiami TRL S
Venice, FL 34285-5578

Mailing address

3604 Torrey Pines Blvd
Sarasota, FL 34238-2827
Phone (941) 400-0671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200319001777 FL Part B Supplier - Clinic/Group Practice 1557799814 Receives reassigned benefits from 1 practitioner
Practice locations: Venice, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2237247The a Men of Sarasota1511 S Tamiami Trail Suite 201, Venice, FL 34285Certificate of waiverSep 22, 2027

National Provider Directory

National Provider Directory

Locations

1511 Tamiami Trl S
Venice, FL 34285
Phone (941) 218-6839

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1245864438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 TORREY PINES BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382827",
            "telephone_number": "941-400-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 TAMIAMI TRL S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855578",
            "telephone_number": "941-218-6839",
            "fax_number": "941-218-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE A MEN OF SARASOTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "ANGELASTRO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "941-218-6839",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.