Individual provider Active NPI

Christina D'Angelis, P.A.

  • Medical Physician Assistant
  • Staten Island, NY
National Provider Identifier
1417084682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
004474 Issued in NY
Practice address
6 Presley St
Staten Island, NY 10308-3239
Phone
(718) 984-0969
Fax
(718) 984-4097
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 004474 NY Primary

Addresses

Primary practice location

6 Presley St
Staten Island, NY 10308-3239

Mailing address

6 Presley St
Staten Island, NY 10308-3239
Phone (718) 984-0969

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
I20080505000869 NY Practitioner - Physician Assistant 7012096811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417084682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PRESLEY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083239",
            "telephone_number": "718-984-0969",
            "fax_number": "718-984-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PRESLEY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083239",
            "telephone_number": "718-984-0969",
            "fax_number": "718-984-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANGELIS",
        "first_name": "CHRISTINA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "004474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.