Active NPI
Wendy A Angelo, M.D.
- Family Medicine Physician
- Peekskill, NY
National Provider Identifier
1528061983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 335159
- Practice address
- 1037 Main St
Peekskill, NY 10566-2913 - Phone
- (914) 734-8800
- Fax
- (845) 765-9406
- NPI assigned
- May 31, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 48304 | AZ | |
| Family Medicine Physician | 207Q00000X | 10892 | NH | |
| Family Medicine Physician | 207Q00000X | MD056517L | PA | |
| Family Medicine Physician | 207Q00000X | 335159 | NY | Primary |
Addresses
Primary practice location
1037 Main St
Peekskill, NY 10566-2913
Mailing address
PO Box 5036
White Plains, NY 10602-5036
Phone (845) 745-3611
Other identifiers 23
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01YP02430NH01 | Other | NH | ANETHEM ID# |
| 080186867 | Other | NH | RAILROAD MEDICARE ID |
| 3017025 | Other | NH | AETNA ID# |
| P023475 | Other | PA | GATEWAY |
| 12561940 | Other | PA | MULTIPLAN |
| 222594672 | Other | NH | UNITED HEALTHCARE ID |
| 222594672 | Other | NH | TRICARE ID |
| 2248512 | Other | PA | UNITED HEALTHCARE |
| 30200740 | Medicaid | NH | |
| QZZ000000208841 | Other | PA | AETNA BETTER HEALTH |
| 222594672 | Other | NH | HEALTHCARE VALUE MANAGE# |
| 35973 | Other | NH | CIGNA ID# |
| 888567 | Other | PA | UPMC |
| 713530 | Other | NH | HARVARD PILGRIM ID# |
| 7599428 | Other | PA | AETNA |
| 2547667 | Other | PA | CIGNA |
| 222594672 | Other | NH | GREATWEST HEALTHCARE |
| 003607668 | Other | PA | HIGHMARK |
| 103284080 | Medicaid | PA | |
| 30703781 | Other | PA | AMERIHEALTH CARITAS & VIP |
| 371509 | Other | NH | MVP ID# |
| 578117NWB | Other | PA | MEDICARE |
| 222594672 | Other | NH | PRIVATE HEALTHCARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- State University of New York Downstate Medical Center, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sun River Health Inc.
Practice addresses (Care Compare)
1037 Main St
Peekskill, NY 10566-2913
Phone (914) 734-8800
1200 Brown St
Peekskill, NY 10566-2913
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335159 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc. | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1528061983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5036",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106025036",
"telephone_number": "845-745-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1037 MAIN ST",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662913",
"telephone_number": "914-734-8800",
"fax_number": "845-765-9406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELO",
"first_name": "WENDY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "48304",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "10892",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD056517L",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "335159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANETHEM ID#",
"identifier": "01YP02430NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID",
"identifier": "080186867",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID#",
"identifier": "3017025",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "P023475",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "12561940",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE ID",
"identifier": "222594672",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE ID",
"identifier": "222594672",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2248512",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30200740",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BETTER HEALTH",
"identifier": "QZZ000000208841",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MANAGE#",
"identifier": "222594672",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID#",
"identifier": "35973",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "888567",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM ID#",
"identifier": "713530",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7599428",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2547667",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREATWEST HEALTHCARE",
"identifier": "222594672",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "003607668",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103284080",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH CARITAS & VIP",
"identifier": "30703781",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP ID#",
"identifier": "371509",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "578117NWB",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE ID",
"identifier": "222594672",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peekskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.