DR. MARIETTA ANGELOTTI (NPI# 1881648004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881648004 |
| Entity Type | Individual |
| Full Name | DR. MARIETTA ANGELOTTI |
| Credential | MD |
| Practice Address |
920 Lark Dr Albany NY 12207-1300 |
| Practice Telephone | 5184654771 |
| Mailing Telephone | 5184654771 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME89252 | FL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 237285 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | SENIOR WHOLE HEALTH | 200398 | 01 |
| NY | MVP | 6003782 | 01 |
| NY | BSNENY | 000412538001 | 01 |
| NY | CDPHP | 10117679 | 01 |
| NY | GHI HMO | 114978 | 01 |
| NY | AETNA | 7478863 | 01 |
| NY | EMPIRE BLUE CROSS | 5822D1 | 01 |
| NY | 02845632 | 05 | |
| NY | FIDELIS | 070302000057 | 01 |
| Street Address |
920 LARK DR |
| City | ALBANY |
| State | NY |
| Zip Code | 12207-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023009685 | Kallanna Manjunath | Pediatrics | 920 Lark Dr, Albany, NY 12207-1300 | 2005-11-02 |
| 1851901086 | Latasha Powell | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2020-08-03 |
| 1538792833 | Jennifer Lynn Mcbain | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2020-02-15 |
| 1245871995 | Sara Vogel | Pharmacist | 920 Lark Dr, Albany, NY 12207-1300 | 2019-10-03 |
| 1780249250 | Kristey Marie Palmisano | Social Worker | 920 Lark Dr, Albany, NY 12207-1300 | 2019-05-09 |
| 1306300041 | Laquanya Haggray | Counselor | 920 Lark Dr, Albany, NY 12207-1300 | 2019-01-28 |
| 1144792904 | Mackenzie Meyer Berrus | Physician Assistant | 920 Lark Dr, Albany, NY 12207-1398 | 2018-12-18 |
| 1912491002 | Sally Fay Delory | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2018-06-21 |
| 1366956906 | Melissa Seaman Feltman | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2017-11-17 |
| 1770004095 | Shannon M Craig | Social Worker | 920 Lark Dr, Albany, NY 12207-1300 | 2017-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821588930 | Raynika Denise Wilcox | Behavior Technician | 90 State Street,suite 700, Albany, NY 12207 | 2018-05-14 |
| 1770020562 | Laura Mahoney | Dental Hygienist | 950 Lark Drive, Albany, NY 12207 | 2017-01-31 |
| 1003282880 | Hala Awad | Pharmacist | 17 21 N Pearl St, Albany, NY 12207 | 2015-08-17 |
| 1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
| 1275896805 | Deidre Romanski | Case Manager/Care Coordinator | 112 State Street Room 300, Albany, NY 12207 | 2012-06-19 |
| 1124325394 | Devon Clough | Registered Nurse | 3 Ecomm Square, Albany, NY 12207 | 2011-02-23 |
| 1336459825 | Elina Tsenter | Specialist | 112 State Street, Room 300, Albany, NY 12207 | 2010-10-18 |
| 1750609137 | Michele Monforte Papol | Registered Nurse | 3 East Commerce Square, Albany, NY 12207 | 2010-05-11 |
| 1982842704 | Richard Stuarts Metzger | Pharmacist | 418 Broadway, Albany, NY 12207 | 2009-02-02 |
| 1467639245 | Daniella Rodrigues Ferri | Pharmacist | 1721 North Pearl St, Albany, NY 12207 | 2008-01-24 |
| Find all providers in zip 12207 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1407492796 | American Ecare | Family Medicine | 3 Computer Dr W Ste 107, Albany, NY 12205-1621 | 2019-11-21 |
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1790332831 | Granland3 LLC | Family Medicine | 2622 Dawson Rd, Albany, GA 31707-1609 | 2019-08-22 |
| 1295397065 | Cerrito Creek Family Medicine Inc | Family Medicine | 400 Evelyn Ave., St. 107, Albany, CA 94706 | 2019-07-02 |
| 1487190526 | Tracey Anyanwu | Family Medicine | 539 N Westover Blvd, 133, Albany, GA 31707-1951 | 2017-01-12 |
| 1275911828 | St Claire Gitau Sumaili | Family Medicine | 2403 Osler Ct Ste A, Albany, GA 31707-0205 | 2015-05-15 |
| 1235516071 | Daniel Barton Mosher | Family Medicine | 2605 Willetta St Sw Ste D1, Albany, OR 97321-3481 | 2015-04-30 |
| 1508129214 | Alan Shifman Charles | Family Medicine | 741 Gateview Ave, Albany, CA 94706-1029 | 2012-06-18 |
| 1770840324 | Joseph A Kelly | Family Medicine | 27 Park Ln E, #2, Albany, NY 12204-1960 | 2012-04-20 |
| Find all providers in ALBANY | ||||
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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.