Active NPI
Aspen L Dangelo, PA
- Physician Assistant
- Binghamton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 040407
- Practice address
- 161 Riverside Dr
Suite 302
Binghamton, NY 13905-4176 - Phone
- (607) 798-1842
- Fax
- (607) 729-0147
- NPI assigned
- Jul 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 040407 | NY | Primary |
Addresses
Primary practice location
161 Riverside Dr
Suite 302
Binghamton, NY 13905-4176
Mailing address
161 Riverside Dr
Suite 302
Binghamton, NY 13905-4176
Phone (607) 798-1842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02666411 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Mitchell Ave
Binghamton, NY 13903-1678
Phone (607) 772-0639
54 Main St
Candor, NY 13743-1619
Phone (607) 659-7272
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040407 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Lourdes Memorial Hospital Inc. | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital, Inc. | Physician Assistant | Current | Accepting new patients |
| United Medical Associates PC | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital, Inc. | Current | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
161 Riverside Dr
Ste 302
Binghamton, NY 13905
Phone (607) 798-1842
169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
240 Riverside Dr
Johnson City, NY 13790
Phone (607) 754-3863
Interoperability endpoints
- adangelo196791@direct-guthrie.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
-
- Family Medicine Physician
- Binghamton, NY
- NPI 1063557189
Physician Assistant
-
- Specialty Pharmacy
- Johnson City, NY
- NPI 1730982596
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwich, NY
- NPI 1770593956
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1679596076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 RIVERSIDE DR",
"address_2": "SUITE 302",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054176",
"telephone_number": "607-798-1842",
"fax_number": "607-729-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 RIVERSIDE DR",
"address_2": "SUITE 302",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054176",
"telephone_number": "607-798-1842",
"fax_number": "607-729-0147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANGELO",
"first_name": "ASPEN",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "040407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02666411",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.