Active NPI
John D Angeloni, D.O.
- Family Medicine Physician
- Bala Cynwyd, PA
National Provider Identifier
1730137944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS-003500-L
- Practice address
- 301 E City Ave
Suite 100
Bala Cynwyd, PA 19004-1708 - Phone
- (610) 617-1300
- Fax
- (610) 617-0199
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS-003500-L | PA | Primary |
Addresses
Primary practice location
301 E City Ave
Suite 100
Bala Cynwyd, PA 19004-1708
Mailing address
301 E City Ave
Suite 100
Bala Cynwyd, PA 19004-1708
Phone (610) 617-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0701131 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-003500-L | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410480000000",
"number": "1730137944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E CITY AVE",
"address_2": "SUITE 100",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041708",
"telephone_number": "610-617-1300",
"fax_number": "610-617-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E CITY AVE",
"address_2": "SUITE 100",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041708",
"telephone_number": "610-617-1300",
"fax_number": "610-617-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELONI",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2014-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS-003500-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0701131",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.