DR. JACK BASIL DANGELO JR. M.D.
NPI 1245204650
Physical Medicine & Rehabilitation in Staten Island, NY

Active since February 14, 2006PECOS Enrolled
191 BRADLEY AVE, STATEN ISLAND, NY 10314(917) 748-8341(917) 970-9703 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Basil Dangelo Jr. M.d. NPPES

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

DR. JACK BASIL DANGELO JR. M.D. (NPI 1245204650) is an individual physical medicine & rehabilitation provider in Staten Island, New York, licensed in New York (195391) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1245204650
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. JACK BASIL DANGELO JR.Credential: M.D.
Location Address191 BRADLEY AVEStaten Island, NY 10314-5166
Mailing Address3 Carpender RdNew Brunswick, NJ 08901-1501 · (732) 545-5771
Fax(917) 970-9703
Sole ProprietorYes
Enumeration DateFebruary 14, 2006
Last NPPES UpdateAugust 3, 2022
NPPES CertifiedAugust 3, 2022
NPI 1245204650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in NY · 195391
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
191 BRADLEY AVE, Staten Island, NY 10314

Other Names 1

Other Name (5)Jack Basil D'angelo Md

Secondary Practice Location 1

Location 1361 Edison StStaten Island, NY 10306-3043 · Phone (718) 980-0101

Other Identifiers 1

Medicaid01484220NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jack Basil Dangelo Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rehabilitation)
191 BRADLEY AVE
STATEN ISLAND, NY 10314
Psychologist (Clinical)
191 BRADLEY AVE
STATEN ISLAND, NY 10314
Registered Nurse
191 BRADLEY AVE
STATEN ISLAND, NY 10314
Skilled Nursing Facility
191 BRADLEY AVE
STATEN ISLAND, NY 10314
Nurse Practitioner (Family)
191 BRADLEY AVE, GOLDEN GATE NURSING HOME
STATEN ISLAND, NY 10314
Clinic/Center (Physical Therapy)
191 BRADLEY AVE
STATEN ISLAND, NY 10314
Physical Medicine & Rehabilitation
191 BRADLEY AVE
STATEN ISLAND, NY 10314

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 Jack Dangelo's NPI number?

The NPI number for Jack Dangelo is 1245204650. It was assigned to this individual provider in the NPPES registry on February 14, 2006. The provider is also known as Jack Basil D'angelo MD.

Where is Jack Dangelo located?

Jack Dangelo practices at 191 Bradley Ave, Staten Island, NY 10314. The listed phone number is (917) 748-8341.

What is Jack Dangelo's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Jack Dangelo enrolled in Medicare?

Yes. Jack Dangelo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Dangelo was last updated on August 3, 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.