Dr David Angelillo Orthopaedic Surgery & Sports Medicine PC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

DR DAVID ANGELILLO ORTHOPAEDIC SURGERY & SPORTS MEDICINE PC

Practice address

20001 Linden Blvd
Saint Albans, NY 11412-3223

Phone

(718) 971-9300

NPI assigned

Jun 19, 2019

Organization subpart

No

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

Authorized official

Name

David Angelillo

Title

MD/Owner

Phone

(516) 348-1498

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John C Brunson Jr., MD

  • Diagnostic Radiology Physician
  • St Petersburg, FL
  • NPI 1952379893
  NPD (past)

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1508426768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 EARL ST",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902945",
            "telephone_number": "516-348-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20001 LINDEN BLVD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123223",
            "telephone_number": "718-971-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DAVID ANGELILLO ORTHOPAEDIC SURGERY & SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "ANGELILLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "516-348-1498"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "116864",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daphney Dorcely
• Heidy L Dorgerville, LPN
• Mackensdy Dormeus
• Kerlande Dorsainvil
• Dr Bryant Medical Practice PC
• Dr. Dorothy Nene Ogundu, MD, PC
• Kecha L. Drysdale-Bernard
• Diana Duncan
• Angela Dungee-Farley, KINESIOTHERAPIST
• Dwayne E. Rollins, MD, PC

• Sports Medicine (Orthopaedic Surgery) Physician in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.