Stephen A Angelone, DC
Individual provider Active NPI Chiropractor · Newburgh, NY
NPI 1962690792 · NPPES record last updated Jun 5, 2009
Key facts
- NPI
- 1962690792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 006722-1 (NY)
- Practice address
- 357 S Plank Rd
Newburgh, NY 12550-2527 - Phone
- (845) 566-3603
- NPI assigned
- Oct 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2210 Holly Springs Pkwy
Suite 100
Holly Springs, GA 30115-9013
Phone (678) 562-4556
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250529003187 | GA | Practitioner - Chiropractic | 8820147986 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006722-1 | NY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dotson Stevens Enterprises, Inc. | Chiropractor | Current |
Accepting new patients |
| Nextpain Medical Ga LLC | Current |
Accepting new patients | |
| Doctors United, Inc | Past |
Accepting new patients |
Locations
2210 Holly Springs Pkwy
Ste 100
Holly Springs, GA 30115
Phone (678) 562-4556
1470 Lawrenceville Hwy
Lawrenceville, GA 30044
Phone (678) 486-7777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006722-1 | NY | Yes |
Addresses
Primary practice location
357 S Plank Rd
Newburgh, NY 12550-2527
Mailing address
357 S Plank Rd
Newburgh, NY 12550-2527
Phone (845) 566-3603
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.