DR. JACK BASIL DANGELO JR. M.D.
NPI 1245204650
Physical Medicine & Rehabilitation in Staten Island, NY
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
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).
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.
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.
STATEN ISLAND, NY 10314
STATEN ISLAND, NY 10314
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.