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JACLYN ANGIELCZYK MD
NPI 1851977425
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
101 NICOLLS ROAD, HSC LEVEL 4, 050, STONY BROOK, NY 11794(631) 444-3880 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaclyn Angielczyk Md NPPES

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

JACLYN ANGIELCZYK MD (NPI 1851977425) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Huntington Hospital, and is a graduate of State University Of New York Downstate Medical Center (2021).

NPPES Registry Identity

NPI1851977425
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACLYN ANGIELCZYKCredential: MD
Location Address101 NICOLLS ROAD, HSC LEVEL 4, 050Stony Brook, NY 11794
Mailing Address101 Nicolls Road, Hsc Level 4, 050Stony Brook, NY 11794 · (631) 444-3880
Phone(631) 444-3880
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2021
Enumeration DateMarch 23, 2021
Last NPPES UpdateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1851977425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 NICOLLS ROAD, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclyn Angielczyk Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800338864
PECOS Enrollment IDI20240605001485
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
198 services197 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
53 services53 patients
Insertion of needle into vein (3 years or older) 36410
This procedure involves placing a small needle into a vein, typically in the arm. It's done to collect blood for testing or to deliver medication. You may feel a quick pinch, but it's usually over in seconds. It's a common, safe procedure.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ns/Lij Hs Huntington Hospital

Acute Care Hospitals · Huntington, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330045
Location270 Park AvenueHuntington, NY 11743 · Suffolk County
Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

MUZAMMIL KHAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
101 NICOLLS ROAD, HSC T16-020
STONY BROOK, NY 11794
Suffolk County (631) 444-8478
JUSTIN ALEXANDER BELL MD
Anesthesiology
101 NICOLLS ROAD, DEPARTMENT OF ANESTHESIOLOGY, HSC LEVEL 4, ROOM 060
STONY BROOK, NY 11794
Suffolk County (631) 444-2975
PHILLIP YEUN
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, HEALTH SCIENCE CENTER T16, ROOM 020
STONY BROOK, NY 11794
Suffolk County (631) 444-7411
PRIYANKA RAMACHANDRA MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, DEPARTMENT OF SURGERY, HSC T-19, 030
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
DR. GABRIELLA NICOLE PINHO M.D.
Obstetrics & Gynecology
101 NICOLLS ROAD, HSC 9, ROOM 020
MOUNT SINDAI, NY 11794
Suffolk County (631) 444-3987
DR. BAHAA E DAOUD MD
Anesthesiology
101 NICOLLS ROAD, HSC LEVEL 4 ROOM 60
STONY BROOK, NY 11794
Suffolk County (631) 444-2078
DR. ALLISON PERNICE MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, DEPARTMENT OF SURGERY, HSC T-19, 030
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
DR. DAWEI WU DO
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, HEALTH SCIENCES CENTER LEVEL 4, ROOM 176
STONY BROOK, NY 11794
Suffolk County (631) 638-8517

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 Jaclyn Angielczyk's NPI number?

The NPI number for Jaclyn Angielczyk is 1851977425. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Jaclyn Angielczyk located?

Jaclyn Angielczyk practices at 101 Nicolls Road Hsc Level 4, 050, Stony Brook, NY 11794. The listed phone number is (631) 444-3880.

What is Jaclyn Angielczyk's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jaclyn Angielczyk enrolled in Medicare?

Yes. Jaclyn Angielczyk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jaclyn Angielczyk affiliated with any hospitals?

According to CMS data, Jaclyn Angielczyk is affiliated with Ns/Lij Hs Huntington Hospital and North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Jaclyn Angielczyk was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.