Doctor profile · Federal record
Dr. JACK DANGELO, M.D.
Physical Medicine & Rehabilitation Physician · STATEN ISLAND, NY
- NPI 1245204650
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
191 BRADLEY AVE
STATEN ISLAND, NY 103145166
(917) 748-8341
fax (917) 970-9703 - Additional location
-
361 Edison St
Staten Island, NY 103063043
(718) 980-0101 - Mailing address
-
3 CARPENDER RD
NEW BRUNSWICK, NJ 089011501
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- August 3, 2022
- Specialty taxonomy
- 208100000X — NUCC code
- State license (1)
- New York #195391
- Medicaid
- NY #01484220
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1245204650. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
234
Distinct HCPCS
4
Medicare allowed
$36,255
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99306 |
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 80 | 75 | $207 | |
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 55 | 44 | $122 | |
99310 |
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 50 | 43 | $175 | |
99308 |
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 49 | 41 | $86 |
In context: peer comparison
Among 8 peers in this city , average services per provider: 480. This provider delivers 0.5× the peer median.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 1 | $15.87 |