Individual provider Active NPI

Angeli Mae Farrat, NP

  • Gerontology Nurse Practitioner
  • Bethpage, NY
National Provider Identifier
1568034445
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
309970 Issued in NY
Practice address
120 Hicksville Rd
Bethpage, NY 11714-3443
Phone
(516) 717-1839
NPI assigned
Jul 12, 2021
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 309970 NY Primary

Addresses

Primary practice location

120 Hicksville Rd
Bethpage, NY 11714-3443

Mailing address

120 Hicksville Rd
Bethpage, NY 11714-3443
Phone (516) 717-1839

Other names 1

  • Angeli Mae Corleto Former name

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
I20210728003888 NY Practitioner - Nurse Practitioner 2668875675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Well Medical Care PCGroup PAC ID 9638616485, 10 clinicians

Practice addresses (Care Compare)

2160 Powell Ave
Bronx, NY 10462-4702
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
K & H Medical PLLC CurrentSince Aug 24, 2021 Accepting new patients
Well Medical Care PC CurrentSince Jul 1, 2024 Accepting new patients
Karen E Thornton MD PC CurrentSince Apr 13, 2024 Accepting new patients
Advanced Dermatology PC PastSince Oct 9, 1995 Accepting new patients

Locations

120 Hicksville Rd
Bethpage, NY 11714
Phone (516) 717-1887

2175 Quarry Rd
Bronx, NY 10457
Phone (718) 960-3900

2174 Flatbush Ave
Brooklyn, NY 11234
Phone (646) 951-5217

300 Madison St
Brooklyn, NY 11216
Phone (718) 250-6100

366 Veterans Memorial Hwy
Commack, NY 11725
Phone (631) 499-1200

6175 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 504-2100

46 Main St
Monsey, NY 10952
Phone (845) 538-7869

46 Main St
Ste 382
Monsey, NY 10952

344 W 51st St
New York, NY 10019
Phone (212) 213-3073

6457 Woodhaven Blvd
Rego Park, NY 11374

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

25 Fanning St
Staten Island, NY 10314
Phone (347) 671-8399

Organizations & group practices 4

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": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1568034445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HICKSVILLE RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143443",
            "telephone_number": "516-717-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HICKSVILLE RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143443",
            "telephone_number": "516-717-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAT",
        "first_name": "ANGELI",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "309970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELI",
            "last_name": "CORLETO",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethpage, NY

Sources for this page

Verify at the official NPI Registry.