Active NPI
Glen C. Cangelosi MD LLC
- Ophthalmology Physician
- New Orleans, LA
National Provider Identifier
1972645448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 016166
- Legal business name
- GLEN C. CANGELOSI MD LLC
- Practice address
- 4201 Frenchmen St
New Orleans, LA 70122-3839 - Phone
- (504) 282-7212
- Fax
- (504) 282-7657
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Doris Faye L Polito
- Title
- Insurance Clerk Bookkeeper
- Phone
- (504) 282-7212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 016166 | LA | Primary |
Addresses
Primary practice location
4201 Frenchmen St
New Orleans, LA 70122-3839
Mailing address
4201 Frenchmen St
New Orleans, LA 70122-3839
Phone (504) 282-7212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1349259 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- New Orleans, LA
- NPI 1326048398
-
- Optometrist
- New Orleans, LA
- NPI 1265415715
-
- Ophthalmology Physician
- New Orleans, LA
- NPI 1982091054
-
- Cornea and External Diseases Specialist Physician
- Covington, LA
- NPI 1174534960
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246492800000",
"number": "1972645448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 FRENCHMEN ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701223839",
"telephone_number": "504-282-7212",
"fax_number": "504-282-7657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 FRENCHMEN ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701223839",
"telephone_number": "504-282-7212",
"fax_number": "504-282-7657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLEN C. CANGELOSI MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2009-07-02",
"status": "A",
"authorized_official_last_name": "POLITO",
"authorized_official_first_name": "DORIS FAYE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "INSURANCE CLERK BOOKKEEPER",
"authorized_official_telephone_number": "504-282-7212",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "LA",
"license": "016166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1349259",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.