Active NPI
Angela Candelaria, M.D.
- Hospitalist Physician
- Fairfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME127307
- Practice address
- 52 Beach Rd Ste 105
Fairfield, CT 06824-6017 - Phone
- (203) 334-5959
- Fax
- (203) 298-9035
- NPI assigned
- Jul 7, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 054643 | CT | |
| Hospitalist Physician | 208M00000X | ME127307 | FL | Primary |
Addresses
Primary practice location
52 Beach Rd Ste 105
Fairfield, CT 06824-6017
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-9358
Other practice location 1
8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-9358
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017738700 | Medicaid | FL | |
| IP262Z | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rehabilitation Associates Inc
Practice addresses (Care Compare)
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000
439 Mill Hill Ave
Bridgeport, CT 06610-2866
Phone (203) 334-2100
555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054643 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Advanced Cardiovascular Specialists PC | Current | Accepting new patients |
Locations
439 Mill Hill Ave
Bridgeport, CT 06610
Phone (203) 334-2100
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
52 Beach Rd
Ste 105
Fairfield, CT 06824
Phone (203) 334-5959
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- acandelaria117487@direct.ynhh.org
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Bridgeport, CT
- NPI 1902957970
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1689961864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "321-434-9358",
"fax_number": "321-951-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 BEACH RD STE 105",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246017",
"telephone_number": "203-334-5959",
"fax_number": "203-298-9035"
}
],
"practiceLocations": [
{
"address_1": "8745 N Wickham Rd",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329405997",
"country_code": "US",
"telephone_number": "321-434-9358",
"fax_number": "321-434-9521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANDELARIA",
"first_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "054643",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME127307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017738700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IP262Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.