Mrs. Jaelah Deangelis, MMS PA-C
Physician Assistant in Worcester, Massachusetts
1598835480- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 508-334-8329
- Fax
- 774-441-6421
- Last updated
- November 23, 2020
Jaelah Deangelis is a Physician Assistant based in Worcester, MA. Jaelah Deangelis practices in Worcester, MA and has the professional credentials of MMS PA-C. The NPI Number for Jaelah Deangelis is 1598835480 and holds a License No. PA00422 (RI). The current practice location address for Jaelah Deangelis is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-8329 and via fax at 774-441-6421.
Provider Profile Details
- NPI Number
- 1598835480
- Provider Name
- Jaelah Deangelis
- Credential
- MMS PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 508-334-8329
- Fax Number
- 774-441-6421
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 8, 2006
- Last Update Date
- November 23, 2020
- Certification Date
- November 23, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-334-8329
- Fax Number
- 774-441-6421
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
- Fax Number
- 508-334-8105
License Information
- License Number (1)
- PA00422
- License State (1)
- RI
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA7178
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant · 363A00000X · 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 Mrs. Jaelah Deangelis, MMS PA-C?
The NPI number of Mrs. Jaelah Deangelis, MMS PA-C is 1598835480. It was assigned on November 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jaelah Deangelis, MMS PA-C?
Mrs. Jaelah Deangelis, MMS PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA00422.
Where does Mrs. Jaelah Deangelis, MMS PA-C practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-334-8329 (phone) or 774-441-6421 (fax).
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 1598835480 directly on the NPPES registry website.