Angela Coultman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

232700 Issued in NY

Practice address

19 Bradhurst Ave
Department of Pediatrics Suite 2400
Hawthorne, NY 10532-2140

Phone

(914) 593-8850

Fax

(914) 593-8833

NPI assigned

Mar 30, 2006

Last updated

Jun 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: angela.coultmanmd.p1@direct.westchesterhealth.nextgenshare.com
• Direct secure messaging: acoultman23609@northwell.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optum Medical Care, P.C.

  dba CareMount Medical, P.C.

  • Cardiovascular Disease Physician
  • Mount Kisco, NY
  • NPI 1982643003
  Medicare reassignment NPD
• Westchester Health Medical, P.C.

  • Allergy & Immunology Physician
  • Katonah, NY
  • NPI 1386188647

  Pediatrics

  Medicare reassignment NPD
• Optum Medical Care, P.C.

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1053190595
  NPD
• Westchester Health Medical, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Mount Kisco, NY
  • NPI 1598203911
  NPD

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1871554709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MUNGER PAVILLION RM 312",
            "address_2": "DEPARTMENT OF PEDIATRICS, NEW YORK MEDICAL COLLEGE",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105952140",
            "telephone_number": "914-493-7235",
            "fax_number": "914-594-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "address_2": "DEPARTMENT OF PEDIATRICS SUITE 2400",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-593-8850",
            "fax_number": "914-593-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTMAN",
        "first_name": "ANGELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "232700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02581675",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howard A. Cooper, MD
• Megan Hall Cornelio, MSED
• Dana Rose Costabile, M.S. OTR/L
• David J Costabile, MD
• Katie Allison Coughlin, PHARMD
• Crestviewalp
• Stephanie Cristofano-Casella, MD
• Yvette Estel Cruz
• Dympna Cuccia, LPN
• Lynnette Cukaj, MD

• Pediatrics Physician in Hawthorne, NY
• Providers in Hawthorne, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.