Organization Active NPI

Dangelo Medical Practice PC

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1720124894
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
163205-1 Issued in NY
Legal business name
DANGELO MEDICAL PRACTICE PC
Practice address
485 Titus Ave Ste D
Rochester, NY 14617-3544
Phone
(585) 278-1266
Fax
(585) 544-0036
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Mrs. Rachel Housel
Title
Billing Manager
Phone
(585) 278-1266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 163205-1 NY Primary

Addresses

Primary practice location

485 Titus Ave Ste D
Rochester, NY 14617-3544

Mailing address

485 Titus Ave Ste D
Rochester, NY 14617-3544
Phone (585) 278-1266

Other identifiers 1

IdentifierTypeStateIssuer
101108BJOtherNYPREFERRED CARE

National Provider Directory

National Provider Directory

Locations

485 Titus Ave
Ste D
Rochester, NY 14617
Phone (585) 266-0540

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1720124894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 TITUS AVE STE D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173544",
            "telephone_number": "585-278-1266",
            "fax_number": "585-544-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 TITUS AVE STE D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173544",
            "telephone_number": "585-278-1266",
            "fax_number": "585-544-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANGELO MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "HOUSEL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "585-278-1266",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "163205-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101108BJ",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.