Individual provider Active NPI

Angela Stjohn Nader

  • Social Worker
  • Oneonta, NY
National Provider Identifier
1265978308
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
72098586 Issued in NY
Practice address
242 Main St
Oneonta, NY 13820-2527
Phone
(607) 433-2334
NPI assigned
Jan 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 72098586 NY Primary

Addresses

Primary practice location

242 Main St
Oneonta, NY 13820-2527

Mailing address

242 Main St
Oneonta, NY 13820-2527
Phone (607) 433-2334

Other names 1

  • Ms. Angela Marie St.John Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211117000810 NY Practitioner - Clinical Social Worker 1052700846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Otsego 9 clinicians

Practice addresses (Care Compare)

242 Main St
Oneonta, NY 13820-2527
Phone (607) 433-2343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72098586NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Otsego CurrentSince Aug 18, 2021 Accepting new patients
County of Otsego CurrentSince Aug 18, 2021 Accepting new patients

Locations

242 Main St
Oneonta, NY 13820
Phone (607) 431-1030

Organizations & group practices 4

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": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1265978308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202527",
            "telephone_number": "607-433-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202527",
            "telephone_number": "607-433-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADER",
        "first_name": "ANGELA",
        "middle_name": "STJOHN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72098586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ST.JOHN",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.