Nurse Practitioner in Family Health PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NURSE PRACTITIONER IN FAMILY HEALTH PLLC

Practice address

130-51 228TH St
Laurelton, NY 11413-1742

Phone

(917) 209-4606

NPI assigned

Oct 23, 2024

Organization subpart

No

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

Authorized official

Name

Angela A Andalcio, NPNPI 1124235890

Title

Owner

Phone

(917) 209-4606

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela A. Andalcio, NP

  • Family Nurse Practitioner
  • Laurelton, NY
  • NPI 1124235890

  Family Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1376364281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY STE 2M",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892027",
            "telephone_number": "718-362-1411",
            "fax_number": "718-362-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130-51 228TH ST",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114131742",
            "telephone_number": "917-209-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE PRACTITIONER IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "ANDALCIO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-209-4606",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deon Rosemarie Newman, RN,MSN,MBA
• Yvonne Newman, LPN
• Nighttime Medical Care PC (Nighttime Doctor)
• David L Nussbaum, PT
• Ojiugo U Nwaigwe
• Bob Nwoke
• Beverley Y O'Brien
• Edith Afulenu Obi, FNP-BC

• Family Medicine Physician in Laurelton, NY
• Providers in Laurelton, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.