Dr Jack Basil Dangelo Jr, MD - Medicare Physical Medicine & Rehabilitation in Staten Island, NY

Dr Jack Basil Dangelo Jr, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Staten Island, New York. His current practice location is 191 Bradley Ave, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (917) 748-8341.

Dr Jack Basil Dangelo Jr is licensed to practice in New York (license number 195391) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245204650.

Contact Information

Dr Jack Basil Dangelo Jr, MD
191 Bradley Ave,
Staten Island, NY 10314-5166
(917) 748-8341
(917) 970-9703

Map and Direction




Physician's Profile

Full NameDr Jack Basil Dangelo Jr
GenderMale
SpecialityPhysical Medicine & Rehabilitation
Location191 Bradley Ave, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245204650
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 08/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163496340
  • Enrollment ID: I20040824000100

Medical Identifiers

Medical identifiers for Dr Jack Basil Dangelo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245204650NPI-NPPES
01484220MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 195391 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack Basil Dangelo Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jack Basil Dangelo Jr, MD
3 Carpender Rd,
New Brunswick, NJ 08901-1501

Ph: (732) 545-5771
Dr Jack Basil Dangelo Jr, MD
191 Bradley Ave,
Staten Island, NY 10314-5166

Ph: (917) 748-8341

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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