Peter Douglas Angevine, M.D.
Individual provider Active NPI Neurological Surgery Physician · New York, NY
NPI 1255384236 · NPPES record last updated Jan 5, 2016
Key facts
- NPI
- 1255384236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- 214404 (NY)
- Practice address
- 710 W 168TH St
Room 510
New York, NY 10032-3726 - Phone
- (212) 305-1550
- Fax
- (212) 342-6850
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Neurosurgery
- Education
- Columbia University College of Physicians and Surgeons, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Trustees of Columbia University in the City of New York
Practice addresses (Care Compare)
622 W 168TH St
New York, NY 10032-3720
Hospital & facility affiliations
- Archcare at Home
- Americare Certified Special Services, Inc Chha
- Lawrence Home Care of Westchester
- New York-Presbyterian Hospital
- Hudson Valley Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 173 |
| Laminectomy or laminotomy (partial removal of spine bones) | 80 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060522000062 | NY | Practitioner - Neurosurgery | 1355313651 | Reassigns benefits to 2 organizations |
| I20190509000773 | NJ | Practitioner - Neurosurgery | 1355313651 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214404 | NY | MD | Neurological Surgery Physician |
Practice roles (7 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current |
Accepting new patients | |
| Columbia Doctors of New Jersey, P. C. | Current |
Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Columbia Doctors of New Jersey, P. C. | Current |
Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current |
Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| Trustees of Columbia University in the Department of Otolaryngology | Past | Accepting new patients |
Locations
500 Grand Ave
Fl 1
Englewood, NJ 07631
Phone (201) 227-1760
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
710 W 168th St
New York, NY 10032
Phone (212) 305-0217
710 W 168th St
Rm 510
New York, NY 10032
Phone (212) 305-1550
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
710 W 168th St
Ste 425
New York, NY 10032
Phone (212) 305-1090
710 W 168th St
#425
New York, NY 10032
710 W 168th St
Fl 5
New York, NY 10032
Phone (212) 305-1550
155 White Plains Rd
Tarrytown, NY 10591
Phone (914) 332-7571
1111 Westchester Ave
White Plains, NY 10604
Phone (212) 305-1021
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- angevin@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 214404 | NY | Yes |
Addresses
Primary practice location
710 W 168TH St
Room 510
New York, NY 10032-3726
Mailing address
710 W 168TH St
Room 510
New York, NY 10032-3726
Phone (212) 305-1550
Other providers in New York, NY
- Kristy Angen
- Katharina Anger
- Arnie Angerman
- Kaley Angers
- Robert Mitchell Angert
- Daniela Anghelina
- Diana Elizabeth Angi
- Angie Man-CHI Eng,MD,PC
- Marybeth Angilella Dartley
- Hunter Suiter Angileri
All providers in New York, NY · Neurological Surgery Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.