Individual provider Active NPI

Angela America Libranti, PA

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1497240675
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
022573-1 Issued in NY
Practice address
1455 West Ave
Bronx, NY 10462-7304
Phone
(718) 239-1500
NPI assigned
Jun 28, 2018
Last updated
May 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 022573-1 NY Primary

Addresses

Primary practice location

1455 West Ave
Bronx, NY 10462-7304

Mailing address

200 Central Park S Apt 107
New York, NY 10019-1449
Phone (212) 262-2500

Other identifiers 1

IdentifierTypeStateIssuer
05451529MedicaidNY

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
I20190325001325 NY Practitioner - Physician Assistant 7618217928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians

Practice addresses (Care Compare)

101 Pennsylvania Ave
FL 7
Brooklyn, NY 11207-2428
Phone (646) 979-8538

10460 Queens Blvd
Suite 1C
Forest Hills, NY 11375-7301
Phone (718) 275-5555

142 Joralemon St
Brooklyn, NY 11201-4709
Phone (718) 237-0404

1660 E 14TH St
Suite 3a
Brooklyn, NY 11229-1170
Phone (718) 376-0500

4 Technology Dr
Suite 180
East Setauket, NY 11733-4068
Phone (631) 689-3188

5847 188TH St
Fresh Meadows, NY 11365-2201
Phone (718) 357-8200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022573-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of New York PC CurrentSince Feb 10, 2019 Accepting new patients
Advanced Dermatology of New York PC CurrentSince Feb 10, 2019 Accepting new patients
Howard D. Solomon, DO, PC Past Accepting new patients
Anthony Buglino DO PLLC Past Accepting new patients

Locations

1455 West Ave
Bronx, NY 10462
Phone (212) 262-2500

2100 Bartow Ave
Bronx, NY 10475
Phone (718) 320-5300

291 E 149th St
Bronx, NY 10451
Phone (718) 742-1000

6 Lowell Ave
New Hyde Park, NY 11040
Phone (516) 326-4160

200 Central Park S
Apt 107
New York, NY 10019
Phone (212) 262-2500

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: alibranti@advderm.emadirect.md

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1497240675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTRAL PARK S APT 107",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191449",
            "telephone_number": "212-262-2500",
            "fax_number": "212-262-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 WEST AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627304",
            "telephone_number": "718-239-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBRANTI",
        "first_name": "ANGELA",
        "middle_name": "AMERICA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022573-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05451529",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.