Active NPI
Angela Damiano, MD PC
- Otolaryngology/Facial Plastic Surgery Physician
- Ardsley, NY
National Provider Identifier
1487748141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01821181 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.