Individual provider Active NPI

Angelina Calandruccio

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1912870916
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
035002 Issued in NY
Practice address
1200 Waters PL
Bronx, NY 10461-2728
Phone
(719) 631-2407
NPI assigned
Sep 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 035002 NY Primary
Physician Assistant 363A00000X 7389 CT

Addresses

Primary practice location

1200 Waters PL
Bronx, NY 10461-2728

Mailing address

1200 Waters PL
Bronx, NY 10461-2728

Other practice location 1

3030 Westchester Ave
Purchase, NY 10577-2574
Phone (914) 848-8880

Other practice location 2

644 W Putnam Ave
Greenwich, CT 06830-6088
Phone (203) 210-2874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20260205001791 NY Practitioner - Physician Assistant 0143709683 Reassigns benefits to 1 organization
I20260507001059 CT Practitioner - Physician Assistant 0143709683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

3030 Westchester Ave
Purchase, NY 10577-2574
Phone (914) 831-4100

644 W Putnam Ave
Greenwich, CT 06830-6088
Phone (203) 622-0303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7389CTMDSocial Worker
035002NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Group, P.C. CurrentSince Jan 12, 2026 Accepting new patients
The Westchester Medical Group PC CurrentSince Jan 12, 2026 Accepting new patients

Locations

644 W Putnam Ave
Greenwich, CT 06830
Phone (203) 210-2880

3030 Westchester Ave
Purchase, NY 10577
Phone (914) 682-6435

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

Interoperability endpoints

  • Direct secure messaging: angelina.calandruccio.1@21260.direct.athenahealth.com

Organizations & group practices 2

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": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1912870916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "719-631-2407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Purchase",
            "state": "NY",
            "postal_code": "105772574",
            "country_code": "US",
            "telephone_number": "914-848-8880",
            "fax_number": "914-848-8881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "644 W Putnam Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068306088",
            "country_code": "US",
            "telephone_number": "203-210-2874",
            "fax_number": "203-302-4661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALANDRUCCIO",
        "first_name": "ANGELINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-25",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "035002",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "7389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.