Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Angelo, PA-C

Individual provider Physician Assistant · NPI 1912209347

John Angelo, PA-C is a Physician Assistant in East Setauket, New York. Qualified in 2010, 16 years ago. Practices with Orthopedic Assoc of Long Island Physicians and Medical Group PLLC, a 31-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6 Technology Dr Ste 100
East Setauket, NY 11733-4079
Phone: (631) 689-6698
Fax: (631) 751-5548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 014323 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 014323 (NY)

Record details

NPI number1912209347
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 17, 2010
Last updated in NPPESMay 17, 2019
Mailing address6 Technology Dr Ste 100, East Setauket, NY 11733-4079

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Orthopedic Assoc Of Long Island Physicians And Medical Group Pllc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in East Setauket