Individual provider Active NPI

Dominic De Angelo

  • Critical Care Medicine (Internal Medicine) Physician
  • Camden, NJ
National Provider Identifier
1730549205
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
25MB10580000 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103
Phone
(856) 342-2000
NPI assigned
Feb 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MB10580000 NJ Primary
Hospitalist Physician 208M00000X 25MB10580000 NJ

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

4190 City Ave
Philadelphia, PA 19131-1626
Phone (215) 871-6690

Other practice location 2

4190 City Ave
Philadelphia, PA 19131-1626
Phone (215) 871-6690

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
I20190826000058 NJ Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Hospitalist 5991080343 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Department of Medicine Group PAGroup PAC ID 2163335878, 474 clinicians
Community Health Care, Inc.Group PAC ID 9335040419, 126 clinicians

Practice addresses (Care Compare)

1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (856) 641-7790

335 Delsea Dr N
Glassboro, NJ 08028-1403
Phone 85645147002755

Hospital & facility affiliations

  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Physician Offices, PA Hospitalist CurrentSince Jul 7, 2019 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Jul 5, 2023 Accepting new patients
Community Health Care, Inc. CurrentSince Jan 1, 2024 Accepting new patients
CMC Department of Medicine Group PA Critical Care Medicine Current Accepting new patients
Community Health Care, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

30 N Pearl St
Bridgeton, NJ 08302

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
#200
Camden, NJ 08103

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1 Cooper Plz
#432
Camden, NJ 08103
Phone (856) 342-2633

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

309 Bridgeboro Rd
Moorestown, NJ 08057
Phone (856) 439-2000

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1730549205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "856-342-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4190 City Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191311626",
            "country_code": "US",
            "telephone_number": "215-871-6690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4190 City Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191311626",
            "country_code": "US",
            "telephone_number": "215-871-6690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE ANGELO",
        "first_name": "DOMINIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-26",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MB10580000",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MB10580000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.