Active NPI
Vincent Robert Deangelis, M.D.
- Surgery Physician
- East Islip, NY
National Provider Identifier
1982975041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 082537-1
- Practice address
- 88 Meadowfarm Rd
East Islip, NY 11730-2909 - Phone
- (631) 581-4250
- Fax
- (631) 581-3993
- NPI assigned
- Jan 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 082537-1 | NY | Primary |
Addresses
Primary practice location
88 Meadowfarm Rd
East Islip, NY 11730-2909
Mailing address
88 Meadowfarm Rd
East Islip, NY 11730-2909
Phone (631) 581-4250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F18070 | Other | NY | UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082537 | NY | MD | Social Worker |
| 082537-1 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327104000000",
"number": "1982975041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 MEADOWFARM RD",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302909",
"telephone_number": "631-581-4250",
"fax_number": "631-581-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 MEADOWFARM RD",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302909",
"telephone_number": "631-581-4250",
"fax_number": "631-581-3993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEANGELIS",
"first_name": "VINCENT",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-21",
"last_updated": "2012-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "082537-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "F18070",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.