Individual ProviderJeffrey CangelosiEmergency MedicineAllopathic & Osteopathic PhysiciansPractice AddressStony Brook University Hospital, Hsc Level 4 Rm 080, Stony Brook, NY 11794-7148(631) 444-2478PECOS EnrollmentBased on the most recent information from CMS, provider Jeffrey Cangelosi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1851533517Provider TypeIndividualFull NameCangelosi, JeffreyTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date3/27/2009Last Updated6/29/2012Contact InformationPractice LocationPractice AddressStony Brook University Hospital, Hsc Level 4 Rm 080, Stony Brook, NY 11794-7148Phone(631) 444-2478FaxUnlisted FaxMailing LocationMailing AddressStony Brook University Hospital, Hsc Level 4 Rm 080, Stony Brook, NY 11794-7148Phone(631) 444-2478FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense258956New York