Individual provider Active NPI

Anthony Joseph Angelo, M.D.

  • Psychiatry Physician
  • Holbrook, NY
National Provider Identifier
1932149598
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
NY116474 Issued in NY
Practice address
8 Summerwood Rd
Holbrook, NY 11741-5612
Phone
(631) 472-1757
Fax
(631) 472-6797
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NY116474 NY Primary

Addresses

Primary practice location

8 Summerwood Rd
Holbrook, NY 11741-5612

Mailing address

8 Summerwood Rd
Holbrook, NY 11741
Phone (516) 398-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rutgers New Jersey Medical School, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Farmingdale Rd
West Babylon, NY 11704-6207

8 Summerwood Rd
Holbrook, NY 11741-5612

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NY116474NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Risewell Community Services CurrentSince Aug 1, 2005 Accepting new patients
Risewell Community Services CurrentSince Aug 1, 2005 Accepting new patients
Federation of Organizations for the Ny State Mentally Disabled Inc Current Accepting new patients

Locations

456 Waverly Ave
Patchogue, NY 11772
Phone (631) 447-6460

240A Long Island Ave
Wyandanch, NY 11798
Phone (631) 782-6200

Organizations & group practices 3

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1932149598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SUMMERWOOD RD",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "11741",
            "telephone_number": "516-398-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SUMMERWOOD RD",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117415612",
            "telephone_number": "631-472-1757",
            "fax_number": "631-472-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "NY116474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

Verify at the official NPI Registry.