Individual provider Active NPI

Domenica Angela Angiuli, AGNP

  • Adult Health Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1629406871
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024171728 Issued in VA
Practice address
11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211
Phone
(646) 722-7610
NPI assigned
Oct 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024171728 VA Primary

Addresses

Primary practice location

11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211

Mailing address

163 Fort Evans Rd NE
Leesburg, VA 20176-4420
Phone (703) 443-2000

Other practice location 1

163 Fort Evans Rd NE
Leesburg, VA 20176-4420
Phone (703) 443-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, NY, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20160226002288 VA Practitioner - Nurse Practitioner 9638474711 Reassigns benefits to 1 organization
I20160914002057 DC Practitioner - Nurse Practitioner 9638474711 Reassigns benefits to 1 organization
I20231214002021 NY Practitioner - Nurse Practitioner 9638474711 Reassigns benefits to 1 organization
I20260121002509 CA Practitioner - Nurse Practitioner 9638474711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22328 Tees Ter
Ashburn, VA 20148-7382

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Onclick Healthcare Incorporated CurrentSince Dec 22, 2025 Accepting new patients
Loudoun Medical Group, PC CurrentSince Dec 9, 2015 Accepting new patients
Harmony Medical Services of New York, PLLC CurrentSince Dec 7, 2023 Accepting new patients
Loudoun Medical Group, PC CurrentSince Dec 9, 2015 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 7, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 7, 2016 Accepting new patients

Locations

4766 Park Granada
Ste 206B
Calabasas, CA 91302
Phone (818) 272-8260

2625 Townsgate Rd
Ste 330
Westlake Vlg, CA 91361
Phone (818) 272-8260

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610

1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

19465 Deerfield Ave
Ste 309
Leesburg, VA 20176
Phone (703) 723-3398

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1629406871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 FORT EVANS RD NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764420",
            "telephone_number": "703-443-2000",
            "fax_number": "703-433-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 QUEENS BLVD STE 400",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757211",
            "telephone_number": "646-722-7610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Fort Evans Rd NE",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201764420",
            "country_code": "US",
            "telephone_number": "703-443-2000",
            "fax_number": "703-433-2033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGIULI",
        "first_name": "DOMENICA",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024171728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.