JOHN ANGELO PA-C
NPI 1912209347
Physician Assistant - Surgical in East Setauket, NY

Q: What is John Angelo's NPI number?

The NPI number for John Angelo is 1912209347. It was assigned to this individual provider in the NPPES registry on November 17, 2010.

Q: What is John Angelo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for John Angelo was last updated on May 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 17, 2010PECOS EnrolledAccepts Medicare Assignment

6 TECHNOLOGY DR STE 100, EAST SETAUKET, NY 11733(631) 689-6698(631) 751-5548 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2019, Mar 14, 2019, Feb 4, 2016 (3 updates tracked since 2016).

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About John Angelo Pa-c NPPES

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

JOHN ANGELO PA-C (NPI 1912209347) is an individual surgical provider in East Setauket, New York, licensed in New York (014323) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with St Catherine Of Siena Hospital Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1912209347

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameJOHN ANGELOCredential: PA-C

Location Address6 TECHNOLOGY DR STE 100East Setauket, NY 11733-4079

Mailing Address6 Technology Dr Ste 100East Setauket, NY 11733-4079 · (631) 689-6698 · Fax (631) 751-5548

Phone(631) 689-6698

Fax(631) 751-5548

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateNovember 17, 2010

Last NPPES UpdateMay 17, 20193 updates tracked since enumeration

✔ NPI 1912209347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 014323

Also ListedPhysician AssistantTaxonomy 363A00000X · License 014323 (NY)

6 TECHNOLOGY DR STE 100, East Setauket, NY 11733

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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

John Angelo Pa-c 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 ID2163728874

PECOS Enrollment IDI20160307001319

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.

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

16 services16 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services13 patients

Relocation of tendon of forearm and/or wrist 25310

Relocation of a tendon in the forearm or wrist is a surgical procedure aimed to improve joint function. It involves moving a tendon from its original position to a new one to enhance mobility or correct a deformity. It's typically done under general anesthesia.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330401

Location50 Route 25ASmithtown, NY 11787 · Suffolk County

Emergency services Birthing friendly

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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.

MRS. RAMINA ROSHAN PA-C

Physician Assistant