Dominique R Deangelis, PA-C
Physician Assistant, Medical in Greenwich, Connecticut
1245006147- Practice location
- 5 Perryridge RD, Greenwich, CT 06830-4697
- Phone
- 203-863-3000
- Fax
- —
- Last updated
- November 30, 2023
Dominique Rae Deangelis is a Physician Assistant, Medical based in Greenwich, CT. Dominique Rae Deangelis practices in Greenwich, CT and has the professional credentials of PA-C. The NPI Number for Dominique Rae Deangelis is 1245006147 and holds a License No. 031018 (NY). The current practice location address for Dominique Rae Deangelis is 5 Perryridge RD, Greenwich, CT 06830-4697 and can be reached out via phone at 203-863-3000.
Provider Profile Details
- NPI Number
- 1245006147
- Provider Name
- Dominique Rae Deangelis
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5 Perryridge RD, Greenwich, CT 06830-4697
- Phone Number
- 203-863-3000
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 30, 2023
- Last Update Date
- November 30, 2023
- Certification Date
- November 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Perryridge RD
Greenwich, CT 06830-4697 - City
- Greenwich
- State
- Connecticut
- Zip
- 06830-4697
- Phone Number
- 203-863-3000
Provider Business Mailing Address Details
- Address
- 3 Anasville RD
Somers, NY 10589-2415 - City
- Somers
- State
- NY
- Zip
- 10589-2415
- Phone Number
- 845-661-0100
License Information
- License Number (1)
- 031018
- License State (1)
- NY
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 6374
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dominique R Deangelis, PA-C?
The NPI number of Dominique R Deangelis, PA-C is 1245006147. It was assigned on November 30, 2023 and is currently active in the NPPES registry.
What is the specialty of Dominique R Deangelis, PA-C?
Dominique R Deangelis, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 031018.
Where does Dominique R Deangelis, PA-C practice?
The practice location is 5 Perryridge RD, Greenwich, CT 06830-4697. The office can be reached at 203-863-3000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245006147 directly on the NPPES registry website.