Individual provider Active NPI

Stephen T D'Angelo, D.O.

  • Anesthesiology Physician
  • Forked River, NJ
National Provider Identifier
1700813185
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MB06855700 Issued in NJ
Practice address
1007 Neosho Dr
Forked River, NJ 08731-2003
Phone
(732) 674-9512
Fax
(732) 840-0067
NPI assigned
Jun 28, 2006
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MB06855700 NJ Primary

Addresses

Primary practice location

1007 Neosho Dr
Forked River, NJ 08731-2003

Mailing address

1007 Neosho Dr
Forked River, NJ 08731-2003
Phone (732) 674-9512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20050822000895 NJ Practitioner - Anesthesiology 1557392362 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

27 S Cooks Bridge Rd
Suite 2 17
Jackson, NJ 08527-2463
Phone (732) 840-0067

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MB06855700NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC Anesthesiology CurrentSince Oct 1, 2018 Accepting new patients
Prestige Pain Centers PC CurrentSince Aug 25, 2020 Accepting new patients
Ocean Anesthesia LLC Anesthesiology CurrentSince Jul 24, 2013 Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients

Locations

525 Jack Martin Blvd
Ste 300
Brick, NJ 08724
Phone (732) 840-0067

125 Washington Ave
Carteret, NJ 07008
Phone (201) 687-1208

1813 Oak Tree Rd
Edison, NJ 08820
Phone (732) 548-5955

27 S Cooks Bridge Rd
Ste 2-17
Jackson, NJ 08527
Phone (732) 721-7227

360 Route 70
Lakewood, NJ 08701
Phone (732) 367-3050

50 Franklin Ln
Manalapan, NJ 07726
Phone (732) 617-5990

400 State Route 34
Ste A
Matawan, NJ 07747

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

222 Oak Ave
Toms River, NJ 08753
Phone (732) 914-1919

477 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 349-4422

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1700813185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 NEOSHO DR",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312003",
            "telephone_number": "732-674-9512",
            "fax_number": "732-840-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 NEOSHO DR",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312003",
            "telephone_number": "732-674-9512",
            "fax_number": "732-840-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "STEPHEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB06855700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

Verify at the official NPI Registry.