Active NPI
Angelina Kraeling
- Specialist
- Freeport, NY
National Provider Identifier
1639501455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 792165
- Practice address
- 176 Sweezy Ave
Freeport, NY 11520-4118 - Phone
- (516) 610-4649
- NPI assigned
- Aug 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 792165 | NY | |
| Specialist | 174400000X | 792165 | NY | Primary |
Addresses
Primary practice location
176 Sweezy Ave
Freeport, NY 11520-4118
Mailing address
176 Sweezy Ave
Freeport, NY 11520-4118
Phone (516) 610-4649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 792165 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1639501455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 SWEEZY AVE",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115204118",
"telephone_number": "516-610-4649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 SWEEZY AVE",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115204118",
"telephone_number": "516-610-4649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAELING",
"first_name": "ANGELINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-02",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NY",
"license": "792165",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "792165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.