Individual provider Active NPI

Diana A Dangelo, D.C.

  • Chiropractor
  • East Islip, NY
National Provider Identifier
1346596293
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011722 Issued in NY
Practice address
99 E Main St Ste 2
East Islip, NY 11730-2538
Phone
(631) 647-8324
NPI assigned
Jul 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011722 NY Primary

Addresses

Primary practice location

99 E Main St Ste 2
East Islip, NY 11730-2538

Mailing address

99 E Main St Ste 2
East Islip, NY 11730-2538
Phone (631) 647-8324

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address reception@islipchiroctic.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140923001452 NY Practitioner - Chiropractic 7315166410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Islip Chiropractic PC Chiropractor CurrentSince Jun 14, 2020 Accepting new patients
Advanced Chiropractic Healthcare Chiropractor CurrentSince Sep 25, 2013 Accepting new patients

Locations

99 E Main St
Ste 2
East Islip, NY 11730
Phone (631) 647-8324

901 Stewart Ave
Ste 285
Garden City, NY 11530
Phone (516) 742-5715

Organizations & group practices 2

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": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1346596293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E MAIN ST STE 2",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302538",
            "telephone_number": "631-647-8324",
            "fax_number": "631-352-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E MAIN ST STE 2",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302538",
            "telephone_number": "631-647-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANGELO",
        "first_name": "DIANA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reception@islipchiroctic.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "99 E Main St Ste 2",
            "city": "East Islip",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117302538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.