Active NPI
Vincent J Deangelis, MD
- Anesthesiology Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA05771100
- Practice address
- 1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928 - Phone
- (732) 937-8841
- Fax
- (732) 418-8492
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA05771100 | NJ | Primary |
Addresses
Primary practice location
1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Mailing address
66 W Gilbert St
2ND Floor
Tinton Falls, NJ 07701-4947
Phone (732) 212-0051
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5140609 | Medicaid | NJ | |
| 050061970 | Other | NJ | RR MCR PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- New York Medical College, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
215 A N Ctr Dr
North Brunswick, NJ 08902-4247
Phone (732) 846-9500
215 N Ctr Dr
North Brunswick, NJ 08902-4247
Phone (732) 846-9500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park Surgical Associates | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| New Jersey Anesthesia Professionals LLC | Anesthesiology | Current | Accepting new patients |
| New Jersey Anesthesia Services LLC | Anesthesiology | Current | Accepting new patients |
Locations
20 Commerce Dr
Ste 135
Cranford, NJ 07016
Phone (908) 449-0441
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
317 George St
Fl 3
New Brunswick, NJ 08901
Phone (732) 235-6137
1 Robert Wood Johnson Pl
#G
New Brunswick, NJ 08901
Phone (732) 937-8841
125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230
215 N Center Dr
North Brunswick, NJ 08902
Phone (732) 305-6556
215A N Center Dr
North Brunswick, NJ 08902
Phone (732) 305-6556
66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051
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 and National Provider Directory roles.
-
- Surgery Physician
- North Brunswick, NJ
- NPI 1568437275
-
- Anesthesiology Physician
- Cranford, NJ
- NPI 1689337826
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
-
- Anesthesiology Physician
- Jersey City, NJ
- NPI 1356866586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1700968872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 W GILBERT ST",
"address_2": "2ND FLOOR",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014947",
"telephone_number": "732-212-0051",
"fax_number": "732-212-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROBERT WOOD JOHNSON PL",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011928",
"telephone_number": "732-937-8841",
"fax_number": "732-418-8492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEANGELIS",
"first_name": "VINCENT",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA05771100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5140609",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR PTAN",
"identifier": "050061970",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.