JESSICA ALICE D'ANGELO (NPI# 1609297803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609297803 |
| Entity Type | Individual |
| Full Name | JESSICA ALICE D'ANGELO |
| Practice Address |
3474 113th St Corona NY 11368-1455 |
| Practice Telephone | 7184295700 |
| Mailing Telephone | 7184295700 |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2015-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982966784 | Jessica D'angelo | Specialist | 96 Holcomb Ave, Staten Island, NY 10312-2212 | 2012-06-08 |
| 1790397289 | Jessica Nicole D'angelo | Physical Therapist | 728 Bennetts Mills Rd, Jackson, NJ 08527-3850 | 2020-08-18 |
| 1265843692 | Jessica D'angelo | Nurse Practitioner | 225 E Chicago Ave, Box 155, Chicago, IL 60611-2991 | 2014-05-20 |
| 1992051866 | Jessica D'angelo | Marriage & Family Therapist | 1680 Albany Ave, Hartford, CT 06105-1001 | 2012-07-30 |
| Street Address |
3474 113TH ST |
| City | CORONA |
| State | NY |
| Zip Code | 11368-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700265519 | Jennifer Catano | Speech-Language Pathologist | 3474 113th St, Corona, NY 11368-1455 | 2015-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014039 | Marukh Naeem | Behavioral Analyst | 11119a Roosevelt Ave, Apt 2r, Apt 2r, Corona, NY 11368 | 2020-02-05 |
| 1164072989 | Tonyia Michelle Madison | Counselor | 34-10 108 Street, Corona, Queens, NY 11368 | 2019-09-13 |
| 1962987347 | Sinead Anel Ulloa | Speech-Language Pathologist | 10420 37th Rd, Corona, NY 11368 | 2018-10-01 |
| 1245725779 | Bracha Namdar | Optometrist | 103-06 Roosevelt Ave, Corona, NY 11368 | 2018-06-27 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1134634033 | Nicole Iuculano | Speech-Language Pathologist | 43-18 97th Place, Corona, NY 11368 | 2017-12-13 |
| 1558880831 | Abenaa Nyame Danquah | Registered Nurse | 55-25 98th Place, Apt 1k, Corona, NY 11368 | 2017-09-18 |
| 1063940443 | Brand Rx Pharmacy Corp | Pharmacy | 97-05 A 57th Avenue, Corona, NY 11368 | 2017-05-30 |
| 1427595909 | Richelle Krish Sumaoy Colmenares | Physical Therapist | 3744 104th St., Corona, New York City, NY 11368 | 2017-01-23 |
| 1235674342 | 39th Avenue Physical Therapy PC | Clinic/Center | 103-18c 39 Ave, Corona, NY 11368 | 2016-12-28 |
| Find all providers in zip 11368 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336639913 | Estefani S Aguirre | Specialist | 4117 108th St # 2r, Corona, NY 11368-3475 | 2018-05-18 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1467854117 | Eleonora Israilova | Specialist | 9602 57th Ave Apt 6m, Corona, NY 11368-3427 | 2014-09-24 |
| 1982023057 | Gabrielle Fernandez-cabrera | Specialist | 5512 111th St, 2c, Corona, NY 11368-4035 | 2014-04-15 |
| 1881017770 | Crystal Bruce | Specialist | 3316 102nd St, Corona, NY 11368-1131 | 2014-01-28 |
| 1770911513 | Barno Khaimova | Specialist | 9711 Horace Harding Expy Apt 4c, Corona, NY 11368-4700 | 2013-10-14 |
| 1003249020 | Jennifer Disla | Specialist | 11172 42nd Ave, Corona, NY 11368-2620 | 2013-08-13 |
| 1710328125 | Maria De Los A Rivera | Specialist | 9722 57th Ave, Apt.12-m, Corona, NY 11368-3511 | 2013-07-14 |
| 1497193221 | Alfonso Van Uden | Specialist | 9859 Corona Ave, Corona, NY 11368-2783 | 2013-06-14 |
| 1750623021 | Carol Valerie Gonzalez | Specialist | 5530 98th Pl Apt 5j, Corona, NY 11368-3047 | 2013-03-25 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.