ANGELIC HEALTH PRACTICE GROUP
NPI 1497526065
Family Medicine - Adult Medicine in Pleasantville, NJ

Active since January 12, 2024
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232(609) 464-1135 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Angelic Health Practice Group NPPES

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

ANGELIC HEALTH PRACTICE GROUP (NPI 1497526065), doing business as Angelic Primary Medicine, is a healthcare organization registered as an adult medicine in Pleasantville, New Jersey and active in the NPI registry since January 2024. The organization lists Dan Mikus, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497526065
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameANGELIC HEALTH PRACTICE GROUP
Location Address8025 BLACK HORSE PIKE STE 501Pleasantville, NJ 08232-2967
Mailing Address8025 Black Horse Pike Ste 501Pleasantville, NJ 08232-2967 · (856) 812-8089
Organization SubpartNo
Authorized OfficialDan MikusCeo · (609) 822-7979
Enumeration DateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1497526065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
8025 BLACK HORSE PIKE STE 501, Pleasantville, NJ 08232

Other Names 1

Doing Business AsAngelic Primary Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Angelic Health Practice Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Angelic Health Practice Group, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Internal Medicine
NPI 1629034905
8025 BLACK HORSE PIKE STE 501
Pleasantville, NJ 08232
(609) 822-7979
✔ PECOSSame address
Nurse Practitioner
NPI 1043601156
8025 BLACK HORSE PIKE STE 501
Pleasantville, NJ 08232
(854) 600-9684
✔ PECOSSame address
Nurse Practitioner
NPI 1336510346
8025 BLACK HORSE PIKE STE 501
Pleasantville, NJ 08232
(609) 822-7979
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972828531
8025 BLACK HORSE PIKE STE 501
Pleasantville, NJ 08232
(609) 822-7979
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134452832
802 TILTON RD STE 100
Northfield, NJ 08225
(609) 822-7979
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1124764063
1400 SUNDROP CT
Williamstown, NJ 08094
(973) 855-8121
✔ PECOS37 mi
Nurse Practitioner
NPI 1376944561
550 MAYOR GIBSON BLVD STE 606
Newark, NJ 07102
(201) 822-1161
✔ PECOS✔ Accepts Medicare96 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 Angelic Health Practice Group's NPI number?

The NPI number for Angelic Health Practice Group is 1497526065. It was assigned to this organization in the NPPES registry on January 12, 2024. The provider is doing business as Angelic Primary Medicine.

Where is Angelic Health Practice Group located?

Angelic Health Practice Group is located at 8025 Black Horse Pike Ste 501, Pleasantville, NJ 08232. The listed phone number is (609) 464-1135.

What is Angelic Health Practice Group's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Angelic Health Practice Group enrolled in Medicare?

Yes. Angelic Health Practice Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Angelic Health Practice Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Angelic Health Practice Group. 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. The largest specialties are Nurse Practitioner (6) and Internal Medicine (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Angelic Health Practice Group was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.