Active NPI
Dangelo Medical Practice PC
- Internal Medicine Physician
- Rochester, NY
National Provider Identifier
1720124894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 163205-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101108BJ | Other | NY | PREFERRED CARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1598794992
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1205836772
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.