ANN MARIE DEANGELO MD NPI 1194839027

NPI Information

NPI: 1194839027
Provider Name: ANN MARIE DEANGELO, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
215 OLD TAPPAN ROAD
OLD TAPPAN, NJ
ZIP 07675
Phone: (201) 666-1000
Get Directions

Ann Marie Deangelo, MD is a pediatrics in Old Tappan, NJ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Ann Marie Deangelo, MD NPI is 1194839027. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

215 OLD TAPPAN ROAD
OLD TAPPAN, NJ
ZIP 07675
Phone: (201) 666-1000
Fax: (201) 666-7610

The enumeration date for this NPI number is 8/18/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		MAU62559	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	551957	OTHER		USHC
2	221941517004	OTHER		PRUDENTIAL
3	23719	OTHER		MASTERCARE
4	F01399	OTHER		HEALTHNET
5	5757028	OTHER		AETNA
6	1542817	OTHER		UNITED HLTHCR
7	83303	OTHER		AMERIGROUP
8	7909501	MEDICAID	NEW JERSEY
9	832853BFL	MEDICARE ID-TYPE UNSPECIFIED
10	G23994	MEDICARE UPIN
11	010062559NJ01	OTHER		ANTHEM HEALTI
12	56U101	OTHER		EMPIRE HLTHCR
13	998602	OTHER		REFERRAL
14	P377160	OTHER		OXFORD
15	9167343002	OTHER		CIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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