Individual provider Active NPI

Thomas De Angelis, M.D.

  • Obstetrics & Gynecology Physician
  • Warren, NJ
National Provider Identifier
1336220193
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA05372700 Issued in NJ
Practice address
27 Mountain Blvd
Suite 6
Warren, NJ 07059-5605
Phone
(908) 561-1102
Fax
(908) 561-1106
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA05372700 NJ Primary

Addresses

Primary practice location

27 Mountain Blvd
Suite 6
Warren, NJ 07059-5605

Mailing address

27 Mountain Blvd
Suite 6
Warren, NJ 07059-5605
Phone (908) 561-1102

Other names 1

  • Roseland Obstetrics & Gynecology Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050812000414 NJ Practitioner - Obstetrics/Gynecology 8729018411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05372700NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Oct 2, 2021 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 2, 2021 Accepting new patients
Robert Wood Johnson Physician Enterprise Obstetrics & Gynecology CurrentSince May 1, 2015 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

27 Mountain Blvd
Ste 6
Warren, NJ 07059
Phone (908) 222-7777

775 Mountain Blvd
Ste 107
Watchung, NJ 07069
Phone (908) 561-1102

Interoperability endpoints

  • Direct secure messaging: thomas.deangelis@335000925634564.direct.elationemr.com

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1336220193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MOUNTAIN BLVD",
            "address_2": "SUITE 6",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595605",
            "telephone_number": "908-561-1102",
            "fax_number": "908-561-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MOUNTAIN BLVD",
            "address_2": "SUITE 6",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595605",
            "telephone_number": "908-561-1102",
            "fax_number": "908-561-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ANGELIS",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA05372700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSELAND",
            "last_name": "GYNECOLOGY",
            "middle_name": "OBSTETRICS &",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Warren, NJ

Sources for this page

Verify at the official NPI Registry.