Active NPI
Alexa D'Angelo, FNP-C
- Nurse Practitioner
- Staten Island, NY
National Provider Identifier
1659243871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F356816
- Practice address
- 1161 Victory Blvd
Staten Island, NY 10301-3621 - Phone
- (718) 818-7425
- NPI assigned
- Sep 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F356816 | NY | Primary |
Addresses
Primary practice location
1161 Victory Blvd
Staten Island, NY 10301-3621
Mailing address
557 Jefferson Blvd
Staten Island, NY 10312-2225
Phone (718) 840-8734
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 |
|---|---|---|---|
| F356816 | NY | MD | Nurse Practitioner |
Interoperability endpoints
- alexa.d.angelo.1@19656.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1659243871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 JEFFERSON BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103122225",
"telephone_number": "718-840-8734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013621",
"telephone_number": "718-818-7425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ANGELO",
"first_name": "ALEXA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-18",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F356816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.