Individual provider Active NPI

Stephen J Angeli, MD

  • Interventional Cardiology Physician
  • Teaneck, NJ
National Provider Identifier
1922007707
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MA45655 Issued in NJ
Practice address
954 Teaneck Rd
Teaneck, NJ 07666-4504
Phone
(201) 833-2300
Fax
(201) 833-7600
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of Ny Upstate Medical University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Name Hospital Ekg Interpretation Group 13 clinicians
Holy Name Cardiology Associates, PC 7 clinicians

Practice addresses (Care Compare)

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3000

954 Teaneck Rd
Teaneck, NJ 07666-4504
Phone (201) 833-2300

Hospital & facility affiliations

  • Holy Name Home Care Home health agency, Teaneck, NJ, CCN 317077
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050909000053 NJ Practitioner - Cardiovascular Disease (Cardiology) 5496787533 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA45655NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Name Cardiology Associates, PC Interventional Cardiology CurrentSince Mar 31, 2012 Accepting new patients

Locations

968 River Rd
Edgewater, NJ 07020
Phone (201) 224-8328

968 River Rd
Ste 204
Edgewater, NJ 07020
Phone (201) 217-1224

954 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-2300

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MA45655 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

954 Teaneck Rd
Teaneck, NJ 07666-4504

Mailing address

954 Teaneck Rd
Teaneck, NJ 07666-4504
Phone (201) 833-2300

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0663603MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2010.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1922007707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664504",
            "telephone_number": "201-833-2300",
            "fax_number": "201-833-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664504",
            "telephone_number": "201-833-2300",
            "fax_number": "201-833-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELI",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "MA45655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0663603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.