Individual provider Active NPI

Danielle Dang

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1407274111
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD459849 Issued in PA
Practice address
833 Chestnut St Ste 301
Philadelphia, PA 19107-4405
Phone
(215) 955-2363
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD459849 PA Primary

Addresses

Primary practice location

833 Chestnut St Ste 301
Philadelphia, PA 19107-4405

Mailing address

1356 South St Apt 3
Philadelphia, PA 19147-1846
Phone (617) 710-8857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200402002604 NY Practitioner - Family Practice 5799009320 Reassigns benefits to 1 organization
I20210819000107 NC Practitioner - Family Practice 5799009320 Reassigns benefits to 1 organization
I20220303001100 MA Practitioner - Family Practice 5799009320 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cityblock Medical Practice, P.a. Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Advantagecare Physicians PC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Advantagecare Physicians PC CurrentSince Mar 1, 2020 Accepting new patients
Ahpaffs,LLC PastSince Jun 4, 2021 Accepting new patients

Locations

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

100 Grove St
Ste 115
Worcester, MA 01605
Phone (347) 463-5529

4444 The Plaza
Charlotte, NC 28215
Phone (336) 360-2407

4444 The Plaza
Unit 18
Charlotte, NC 28215

1439 E Cone Blvd
Greensboro, NC 27405
Phone (336) 375-6104

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

55 Water St
#4C
Brooklyn, NY 11201
Phone (917) 718-2063

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

Interoperability endpoints

  • Direct secure messaging: ddang35184@direct.acpny.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 4

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1407274111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 SOUTH ST APT 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471846",
            "telephone_number": "617-710-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074405",
            "telephone_number": "215-955-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD459849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.