JOHN ANGELO (NPI# 1912209347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912209347 |
| Entity Type | Individual |
| Full Name | JOHN ANGELO |
| Credential | PA-C |
| Practice Address |
6 Technology Dr Ste 100 East Setauket NY 11733-4079 |
| Practice Telephone | 6316896698 |
| Practice Fax Number | 6317515548 |
| Mailing Telephone | 6316896698 |
| Mailing Fax Number | 6317515548 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2019-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 014323 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
014323 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 Union Sq E, Suite 3m, New York, NY 100033314 | 2128446755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538143599 | John Edward Angelo | Internal Medicine | 1970 N Highway 190, Covington, LA 70433-5364 | 2005-12-02 |
| 1609942184 | John Glenn Angelo | Family Medicine | 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 | 2006-11-28 |
| Street Address |
6 TECHNOLOGY DR STE 100 |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-4079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174599815 | Matthew P Vetrano | Emergency Medicine | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2006-02-23 |
| 1548822091 | Orthopedic Assoc of Long Island Physicians & Medical Group Pllc | Durable Medical Equipment & Medical Supplies | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2019-07-05 |
| 1225593809 | Orthopedic Assoc of Long Island Physicians & Medical Group Pllc | Orthopaedic Surgery | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2019-02-07 |
| 1881163731 | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | Orthopaedic Surgery | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2018-11-21 |
| 1952891558 | Ramina Roshan | Physician Assistant | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2018-05-18 |
| 1205287893 | Mudasser Rafiq Javed | Podiatrist | 6 Technology Dr Ste 100, East Setauket, NY 11733 | 2016-06-25 |
| 1336509553 | Ryan Hofmann | Physician Assistant | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2016-03-01 |
| 1629474739 | Heather Ann Vulpis | Physician Assistant | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2014-11-17 |
| 1063840866 | David Christopher Cesarino | Physician Assistant | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2013-10-15 |
| 1427484971 | Lance William Perez | Physician Assistant | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2013-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265773097 | Timothy Lozier | Physician Assistant | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2013-03-04 |
| 1902991086 | Christopher Dennis Collins | Physician Assistant | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4047 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434727 | Julia Loren Bartsch | Physician Assistant | 11791 Genesee St, Alden, NY 14004-9713 | 2020-10-16 |
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1336768647 | Abul Sarker | Physician Assistant | 2 Sagamore Ave, Suffern, NY 10901-7412 | 2020-04-16 |
| 1689200412 | Margaret Ann Sullivan | Physician Assistant | 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 | 2020-03-12 |
| 1376177527 | Anabell Marina Lopez Plaza | Physician Assistant | 12 Berrywood Ct, Bay Shore, NY 11706-2058 | 2020-02-26 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
| 1992348775 | Nafiur Rahman Chowdhury | Physician Assistant | 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 | 2019-10-23 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1578114377 | Matthew Newmark Eisenstein | Physician Assistant | 3260 43rd St Apt 2r, Astoria, NY 11103-2745 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.