Organization Active NPI

Jose L. Cangiano,M.D.,P.C.

  • Psychiatry Physician
  • Duluth, GA
National Provider Identifier
1700041175
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
044182 Issued in GA
Legal business name
JOSE L. CANGIANO,M.D.,P.C.
Practice address
3500 Duluth Park LN
Suite 410
Duluth, GA 30096-3242
Phone
(678) 957-0898
Fax
(678) 957-0939
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Jose Lucas Cangiano, M.D.
Title
President
Phone
(678) 957-0898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 044182 GA Primary

Addresses

Primary practice location

3500 Duluth Park LN
Suite 410
Duluth, GA 30096-3242

Mailing address

3500 Duluth Park LN
Suite 410
Duluth, GA 30096-3242
Phone (678) 957-0898

National Provider Directory

National Provider Directory

Locations

3500 Duluth Park Ln
Ste 410
Duluth, GA 30096
Phone (404) 210-7100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1700041175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DULUTH PARK LN",
            "address_2": "SUITE 410",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963242",
            "telephone_number": "678-957-0898",
            "fax_number": "678-957-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 DULUTH PARK LN",
            "address_2": "SUITE 410",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963242",
            "telephone_number": "678-957-0898",
            "fax_number": "678-957-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE L. CANGIANO,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "CANGIANO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUCAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-957-0898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "044182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.