Individual provider Active NPI

Angela Singer, PA-C

  • Physician Assistant
  • West Islip, NY
National Provider Identifier
1891096228
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
014303-1 Issued in NY
Practice address
340 Montauk Hwy
West Islip, NY 11795-4437
Phone
(631) 422-9530
Fax
(631) 376-1208
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 014303-1 NY Primary

Addresses

Primary practice location

340 Montauk Hwy
West Islip, NY 11795-4437

Mailing address

340 Montauk Hwy Ste 1
West Islip, NY 11795-4423
Phone (631) 422-9530

Other practice location 1

3333 Hylan Blvd
Staten Island, NY 10306-3608
Phone (718) 448-3210

Other names 1

  • Angela Grillo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160531001508 NY Practitioner - Physician Assistant 4587954771 Reassigns benefits to 2 organizations
I20210909000509 NJ Practitioner - Physician Assistant 4587954771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Orthopaedic AssociatesGroup PAC ID 4385535020, 3 clinicians

Practice addresses (Care Compare)

340 Montauk Hwy
Suite 1
West Islip, NY 11795-4437
Phone (631) 422-9530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014303-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Apr 16, 2016 Accepting new patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Apr 16, 2016 Accepting new patients

Locations

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657

Interoperability endpoints

  • Direct secure messaging: angelasinger@nslijmedgr.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1891096228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MONTAUK HWY STE 1",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954423",
            "telephone_number": "631-422-9530",
            "fax_number": "631-376-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954437",
            "telephone_number": "631-422-9530",
            "fax_number": "631-376-1208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Hylan Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103063608",
            "country_code": "US",
            "telephone_number": "718-448-3210",
            "fax_number": "718-351-1580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGER",
        "first_name": "ANGELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014303-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GRILLO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.