Organization Active NPI

Angela Damiano, MD PC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Ardsley, NY
National Provider Identifier
1487748141
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
ANGELA DAMIANO, MD PC
Practice address
1055 Saw Mill River Rd
Suite 101
Ardsley, NY 10502-1045
Phone
(914) 693-7636
Fax
(914) 886-0027
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Angela Damiano, MD
Title
Owner
Phone
(914) 693-7636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X Primary

Addresses

Primary practice location

1055 Saw Mill River Rd
Suite 101
Ardsley, NY 10502-1045

Mailing address

PO Box 272
Valhalla, NY 10595-0272
Phone (914) 693-7636

Other identifiers 1

IdentifierTypeStateIssuer
01821181MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487748141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105950272",
            "telephone_number": "914-693-7636",
            "fax_number": "914-886-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SAW MILL RIVER RD",
            "address_2": "SUITE 101",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021045",
            "telephone_number": "914-693-7636",
            "fax_number": "914-886-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA DAMIANO, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAMIANO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-693-7636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01821181",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.