Individual provider Active NPI

David Brian Angelastro, MD

  • Emergency Medicine Physician
  • Somers Point, NJ
National Provider Identifier
1710948583
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA06709000 Issued in NJ
Practice address
1 E New York Avenue
Shore Memorial Hospital
Somers Point, NJ 08244
Phone
(609) 653-3159
Fax
(609) 653-3247
NPI assigned
Mar 31, 2006
Last updated
Apr 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA06709000 NJ Primary

Addresses

Primary practice location

1 E New York Avenue
Shore Memorial Hospital
Somers Point, NJ 08244

Mailing address

1 E New York Ave
Bayfront Emergency Physicians PA
Somers Point, NJ 08244-2340
Phone (609) 653-3519

Other identifiers 1

IdentifierTypeStateIssuer
7613806MedicaidNJ

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
I20040413000742 NJ Practitioner - Emergency Medicine 9830183052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayfront Emergency Physicians PAGroup PAC ID 4587658778, 9 clinicians

Practice addresses (Care Compare)

1 E New York Ave
Somers Point, NJ 08244-2340
Phone (302) 273-2247

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
33.21 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
52.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayfront Emergency Physicians PA Emergency Medicine CurrentSince Jun 15, 2005 Accepting new patients
Shore Family Medicine Ass Past Accepting new patients
Main Line Emergency Med Associates LLC Emergency Medicine Past Accepting new patients

Locations

56 W Main St
Ste 203
Christiana, DE 19702

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1710948583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E NEW YORK AVE",
            "address_2": "BAYFRONT EMERGENCY PHYSICIANS PA",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442340",
            "telephone_number": "609-653-3519",
            "fax_number": "609-653-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E NEW YORK AVENUE",
            "address_2": "SHORE MEMORIAL HOSPITAL",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "08244",
            "telephone_number": "609-653-3159",
            "fax_number": "609-653-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELASTRO",
        "first_name": "DAVID",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA06709000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7613806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.