Individual provider Active NPI

Maureen A Dangelo, FNP

  • Obstetrics & Gynecology Physician
  • Williamsville, NY
National Provider Identifier
1437249695
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
465471 Issued in NY
Practice address
8604 Main Street
Suite 4
Williamsville, NY 14221
Phone
(716) 810-0971
Fax
(716) 810-0975
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 465471 NY Primary

Addresses

Primary practice location

8604 Main Street
Suite 4
Williamsville, NY 14221

Mailing address

5846 Snyder Dr
Lockport, NY 14094-9497
Phone (716) 810-0971

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
I20140529000678 NY Practitioner - Nurse Practitioner 6204059876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Artemis Inspired Medicine PCGroup PAC ID 6608027545, 4 clinicians

Practice addresses (Care Compare)

5846 Snyder Dr
Lockport, NY 14094-9497
Phone (716) 433-3053

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
465471NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Artemis Inspired Medicine, PC CurrentSince Sep 27, 2012 Accepting new patients
Highgate Medical Group PastSince Jul 18, 2006 Accepting new patients
Highgate Medical Group PastSince Nov 13, 2022 Accepting new patients

Locations

5846 Snyder Dr
Lockport, NY 14094
Phone (716) 433-3053

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21418/brand/1/csg/1/fhir/r4
  • Direct secure messaging: maureen.d.angelo.1@21418.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1437249695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5846 SNYDER DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949497",
            "telephone_number": "716-810-0971",
            "fax_number": "716-810-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8604 MAIN STREET",
            "address_2": "SUITE 4",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-810-0971",
            "fax_number": "716-810-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANGELO",
        "first_name": "MAUREEN",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "465471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.