Active NPI
Carl F Dangelo, M.D.
- Gastroenterology Physician
- Allentown, PA
National Provider Identifier
1346246295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD022680E
- Practice address
- 1501 N Cedar Crest Blvd
Suite 110
Allentown, PA 18104-2309 - Phone
- (610) 821-2828
- Fax
- (610) 821-7915
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD022680E | PA | Primary |
Addresses
Primary practice location
1501 N Cedar Crest Blvd
Suite 110
Allentown, PA 18104-2309
Mailing address
1501 N Cedar Crest Blvd
110
Allentown, PA 18104-2309
Phone (610) 821-2828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000712350 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1346246295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N CEDAR CREST BLVD",
"address_2": "110",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181042309",
"telephone_number": "610-821-2828",
"fax_number": "610-821-7915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N CEDAR CREST BLVD",
"address_2": "SUITE 110",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181042309",
"telephone_number": "610-821-2828",
"fax_number": "610-821-7915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANGELO",
"first_name": "CARL",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD022680E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000712350",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.