Angelo Anthony Della Pietra, MD, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

197353 Issued in NY

Practice address

3 Grist Mill LN
Stanfordville, NY 12581-5823

Phone

(845) 454-4324

Fax

(845) 454-4295

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

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.

• Northern Dutchess Hospital

  • Rehabilitation Hospital Unit
  • Rhinebeck, NY
  • NPI 1659468833
  NPD (past)
• Nuvance Health Medical Practice PC

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1437358033
  NPD (past)
• Physician Network, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Poughkeepsie, NY
  • NPI 1053332270
  NPD (past)
• PC Associates, LLC

  • Primary Care Clinic/Center
  • O'Fallon, IL
  • NPI 1184717019

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1679648497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GRIST MILL LN",
            "city": "STANFORDVILLE",
            "state": "NY",
            "postal_code": "125815823",
            "telephone_number": "845-454-4324",
            "fax_number": "845-454-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GRIST MILL LN",
            "city": "STANFORDVILLE",
            "state": "NY",
            "postal_code": "125815823",
            "telephone_number": "845-454-4324",
            "fax_number": "845-454-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLA PIETRA",
        "first_name": "ANGELO",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD, DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "197353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01590692",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelo a Della Pietra Family Medical PC
• Meredith Bodenstab, LCSW
• Juliet Bruce
• Tayaisha Burton
• Natasha Crawford, LPN
• Deborah Dipalma-Wells, M.A. OTR/L
• Dutchess Chemists Inc
• Dutchess Chemists Inc.
• Tatiana Ferrer
• Lisa Marian Fusco, LPN

• Family Medicine Physician in Stanfordville, NY
• Providers in Stanfordville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.