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ANGELA FAGEN
NPI 1104188945
Specialist in Staten Island, NY

Active since June 07, 2012
31 MARC ST, STATEN ISLAND, NY 10314(631) 807-2821 Get Directions Write a Review

NPPES record last updated: June 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Fagen NPPES

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

ANGELA FAGEN (NPI 1104188945) is an individual specialist in Staten Island, New York, licensed in New York (265776021) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1104188945
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameANGELA FAGEN
Location Address31 MARC STStaten Island, NY 10314-7442
Mailing Address31 Marc StStaten Island, NY 10314-7442 · (631) 807-2821
Phone(631) 807-2821
Sole ProprietorYes
Enumeration DateJune 7, 2012
✔ NPI 1104188945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 265776021
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
31 MARC ST, Staten Island, NY 10314
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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 Angela Fagen's NPI number?

The NPI number for Angela Fagen is 1104188945. It was assigned to this individual provider in the NPPES registry on June 7, 2012.

Where is Angela Fagen located?

Angela Fagen practices at 31 Marc St, Staten Island, NY 10314. The listed phone number is (631) 807-2821.

What is Angela Fagen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Angela Fagen was last updated on June 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.