Individual provider Active NPI

Angela Chionchio, FNP-C

  • Family Nurse Practitioner
  • Brentwood, NY
National Provider Identifier
1366260242
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354630 Issued in NY
Practice address
601 Suffolk Ave
Brentwood, NY 11717-4309
Phone
(631) 231-4455
NPI assigned
Sep 30, 2024
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 354630 NY Primary

Addresses

Primary practice location

601 Suffolk Ave
Brentwood, NY 11717-4309

Mailing address

12 Chelsea PL
Dix Hills, NY 11746-5414
Phone (631) 965-9920

Other practice location 1

260 E Middle Country Rd
Smithtown, NY 11787-2982
Phone (631) 265-8780

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250127000840 NY Practitioner - Nurse Practitioner 8426587072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

260 E Middle Country Rd
Suite 201
Smithtown, NY 11787-2925
Phone (631) 265-8780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
354630NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC CurrentSince Jan 1, 2025 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

500 W Main St
Ste 210
Babylon, NY 11702
Phone (631) 957-3355

4277 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 731-5100

4277 Hempstead Tpke
Ste 109
Bethpage, NY 11714
Phone (516) 796-4030

601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384

250 Patchogue Yaphank Rd
Ste 1
East Patchogue, NY 11772
Phone (631) 289-0678

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

54 Commerce Ave
Ste 6
Riverhead, NY 11901

220 Maple Ave
Rockville Ctr, NY 11570

153 Main St
Sayville, NY 11782
Phone (631) 244-0300

260 E Middle Country Rd
Ste 102
Smithtown, NY 11787

260 E Middle Country Rd
Ste 109
Smithtown, NY 11787
Phone (631) 361-3577

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1366260242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHELSEA PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465414",
            "telephone_number": "631-965-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174309",
            "telephone_number": "631-231-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 E Middle Country Rd",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117872982",
            "country_code": "US",
            "telephone_number": "631-265-8780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIONCHIO",
        "first_name": "ANGELA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

Verify at the official NPI Registry.