Angel Community Alliance, Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ANGEL COMMUNITY ALLIANCE, INC

Practice address

508 Beach 22ND St
Far Rockaway, NY 11691-2678

Phone

(929) 427-9677

Fax

(516) 268-9322

NPI assigned

May 15, 2025

Organization subpart

No

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

Authorized official

Name

Angelicka James

Title

Ceo

Phone

(929) 426-9677

Specialties & licenses 2

Addresses

Other names 1

• Angel Community Alliance,inc Former legal business name

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1871384180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 BEACH 22ND ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912678",
            "telephone_number": "929-427-9677",
            "fax_number": "516-268-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 BEACH 22ND ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912678",
            "telephone_number": "929-427-9677",
            "fax_number": "516-268-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL COMMUNITY ALLIANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "ANGELICKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "929-426-9677"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Community Alliance,inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Angel Community Alliance,inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Marnelli Ramos Ancheta, RN
• Chanel Anderson
• Javier Enrique Andrade, MD
• Fatima Carmen Rachel Andrew
• Maria Andrievskaya, M.D.
• Jose Angeles, DDS
• Angelo and Angelicka Alliance
• Victor Anghel, MD
• Candis Anthony
• Andrew M Antillon, DO

• Early Intervention Provider Agency in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.