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PELHAM BAY COMMUNITY MEDICAL, PC
NPI 1154673630
Internal Medicine in Bronx, NY

Active since October 09, 2012
3859 EAST TREMONT AVENUE, BRONX, NY 10465(718) 828-3906(516) 620-4246 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pelham Bay Community Medical, Pc NPPES

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

PELHAM BAY COMMUNITY MEDICAL, PC (NPI 1154673630) is a healthcare organization registered as an internal medicine in Bronx, New York and active in the NPI registry since October 2012. The organization lists Enrico F D'angelo, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1154673630
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePELHAM BAY COMMUNITY MEDICAL, PC
Location Address3859 EAST TREMONT AVENUEBronx, NY 10465
Mailing Address7 Center DrDouglaston, NY 11363-1213 · (516) 620-4246 · Fax (516) 620-4807
Phone(718) 828-3906
Fax(516) 620-4246
Organization SubpartNo
Authorized OfficialEnrico F D'angeloMedical Director · (516) 620-4546
Enumeration DateOctober 9, 2012
✔ NPI 1154673630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3859 EAST TREMONT AVENUE, Bronx, NY 10465
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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)

Pelham Bay Community Medical, 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 Pelham Bay Community Medical, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Enrico Dangelo, M.D.
Family Practice
NPI 1316030364
3117 BUHRE AVE PARKVIEW PROFESSIONAL BLDG
Bronx, NY 10461
(718) 409-2762
✔ PECOS✔ Accepts Medicare1.8 mi

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 Pelham Bay Community Medical, PC's NPI number?

The NPI number for Pelham Bay Community Medical, PC is 1154673630. It was assigned to this organization in the NPPES registry on October 9, 2012.

Where is Pelham Bay Community Medical, PC located?

Pelham Bay Community Medical, PC is located at 3859 East Tremont Avenue, Bronx, NY 10465. The listed phone number is (718) 828-3906.

What is Pelham Bay Community Medical, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pelham Bay Community Medical, PC enrolled in Medicare?

Yes. Pelham Bay Community Medical, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pelham Bay Community Medical, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Pelham Bay Community Medical, 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 Pelham Bay Community Medical, PC was last updated on October 9, 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.