Look up the most recent NPI and PECOS records

Angela Tangredi

Pediatrics

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Angela Tangredi does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1013081363
Provider Type
Individual
Full Name
Tangredi, Angela
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/20/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1000 10th Ave, New York, NY 10019-1147

(212) 523-6745

Unlisted Fax

Mailing Location

407 Airport Executive Park, Nanuet, NY 10954-5288

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License 158780 New York

Provider Identifiers

ID	Description	Issuer
ID 01747819	Description Medicaid	Issuer Unlisted New York

Angela Tangredi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Nguyen, Haidang Dang

Westside Pediatric Assosoates

Nelson, Sabina

Varma, Melissa Jayne

Shah, Rozana

Baron, Aimee Jenna

Goldman, Gilbert

Gordon, I Bruce

Laserna, Charlyn Marie

Reichard, Kathleen