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ANGELO MAGNO MD PC
NPI 1104075217
Internal Medicine - Nephrology in Brooklyn, NY

Active since September 12, 2008
207 PROSPECT PARK W, BROOKLYN, NY 11215(718) 832-3200(718) 788-5419 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Angelo Magno Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELO MAGNO MD PC (NPI 1104075217) is a healthcare organization registered as a nephrology in Brooklyn, New York and active in the NPI registry since September 2008. The organization lists Angelo L Magno, President, as its authorized official.

NPPES Registry Identity

NPI1104075217
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameANGELO MAGNO MD PC
Location Address207 PROSPECT PARK WBrooklyn, NY 11215-5797
Mailing Address207 Prospect Park WBrooklyn, NY 11215-8091 · (718) 434-2082 · Fax (516) 254-4330
Phone(718) 832-3200
Fax(718) 788-5419
Organization SubpartNo
Authorized OfficialAngelo L MagnoPresident · (516) 254-4330
Enumeration DateSeptember 12, 2008
Last NPPES UpdateSeptember 6, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1104075217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in NY · 165641✔ Licensed in NJ · 25MA05018400✔ Licensed in FL · ME 64504
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
207 PROSPECT PARK W, Brooklyn, NY 11215
Open in Google Maps ↗

Other Identifiers 1

Medicaid01392438NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelo Magno Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Angelo Magno MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Angelo Magno, MD
Internal Medicine
NPI 1164422796
207 PROSPECT PARK W
Brooklyn, NY 11215
(718) 832-3200
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelo Magno MD PC's NPI number?

The NPI number for Angelo Magno MD PC is 1104075217. It was assigned to this organization in the NPPES registry on September 12, 2008.

Where is Angelo Magno MD PC located?

Angelo Magno MD PC is located at 207 Prospect Park W, Brooklyn, NY 11215. The listed phone number is (718) 832-3200.

What is Angelo Magno MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Angelo Magno MD PC enrolled in Medicare?

Yes. Angelo Magno MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Angelo Magno MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Angelo Magno MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Angelo Magno MD PC was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.