NPIMap

Individual provider Active NPI

Alexander Carangelo, RPAC

  • Physician Assistant
  • New Hartford, NY
National Provider Identifier
1649567207
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
014840 Issued in NY
Practice address
83 Genesee St
New Hartford, NY 13413-2472
Phone
(315) 792-7629
Fax
(315) 266-1326
NPI assigned
Jul 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 014840 NY
Physician Assistant 363A00000X 014840 NY Primary

Addresses

Primary practice location

83 Genesee St
New Hartford, NY 13413-2472

Mailing address

1220 New Scotland Rd
Slingerlands, NY 12159-9386
Phone (518) 439-4326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111206000723 NY Practitioner - Physician Assistant 1850566670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central New York Brain and Spine Neurosurgery PLLCGroup PAC ID 9830453513, 11 clinicians

Practice addresses (Care Compare)

100 Holland Circle Dr
Amsterdam, NY 12010-7551
Phone (315) 792-7629

107 E Chestnut St
Suite 105
Rome, NY 13440-2834
Phone (315) 792-7629

108 Holland Circle Dr
Amsterdam, NY 12010-7551
Phone (315) 792-7629

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7000

7785 N State St
Lowville, NY 13367-1229
Phone (315) 376-5200

83 Genesee St
New Hartford, NY 13413-2472
Phone (315) 792-7629

Hospital & facility affiliations

  • Community Memorial Hospital, Inc Hospital, Hamilton, NY, CCN 331316
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215
  • Wynn Hospital Hospital, Utica, NY, CCN 330044

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
67.04
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014840NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Region Neurosurgery, PLLC Past Accepting new patients
Capital Region Physical Therapy, PLLC PastSince Oct 23, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: acarangelo@cnybrainandspine.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1649567207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 NEW SCOTLAND RD",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599386",
            "telephone_number": "518-439-4326",
            "fax_number": "518-439-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132472",
            "telephone_number": "315-792-7629",
            "fax_number": "315-266-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARANGELO",
        "first_name": "ALEXANDER",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "014840",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.