Individual provider Active NPI

Angela Marcia Difabio, PA-C

  • Medical Physician Assistant
  • Ocean City, NJ
National Provider Identifier
1538609151
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00628000 Issued in NJ
Practice address
1645 Haven Ave
Ocean City, NJ 08226
Phone
(609) 399-6263
NPI assigned
Mar 1, 2017
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00628000 NJ Primary

Addresses

Primary practice location

1645 Haven Ave
Ocean City, NJ 08226

Mailing address

1 E. New York Ave
4TH Floor Admin
Somers Point, NJ 08244-8283
Phone (609) 653-3265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200629003170 VA Practitioner - Physician Assistant 9638455892 Reassigns benefits to 1 organization
I20210819002662 NJ Practitioner - Physician Assistant 9638455892 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

2500 English Creek Ave
Egg Harbor Township, NJ 08234-5549

459 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225
Phone (609) 340-7815

900 Route 109
Cape May, NJ 08204-5259
Phone (609) 407-2273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Mar 27, 2022 Accepting new patients
Friendly Urgent Care, LLC CurrentSince Oct 1, 2022 Accepting new patients
Cape Regional Urgent Care LLC CurrentSince Jul 2, 2021 Accepting new patients
Bayfront Urgent Care PA PastSince Aug 13, 2023 Accepting new patients
Ernest Charles Dunn,Jr., MD, PA PastSince Aug 13, 2023 Accepting new patients

Locations

11 Court House South Dennis Rd
Ste 3
Cape May Court House, NJ 08210
Phone (609) 465-6364

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1428 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 591-1350

Organizations & group practices 8

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": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1538609151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E. NEW YORK AVE",
            "address_2": "4TH FLOOR ADMIN",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082448283",
            "telephone_number": "609-653-3265",
            "fax_number": "609-926-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 HAVEN AVE",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "08226",
            "telephone_number": "609-399-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFABIO",
        "first_name": "ANGELA",
        "middle_name": "MARCIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00628000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, NJ

Sources for this page

Verify at the official NPI Registry.