Physician Compare National (NPI:1457562548)

HEALTHCARE PROVIDER: ANGELA YLENIA GIUFFRIDA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1457562548
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830245471
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090923000123
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GIUFFRIDA
	Individual professional last name
Provider First Name	ANGELA
	Individual professional first name
Provider Middle Name	YLENIA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUTGERS NEW JERSEY MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HAND SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HAND SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ACTIVE ORTHOPEDICS AND SPORTS MEDICINE LLC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6507023124
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	17
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	25 PROSPECT AVE
	Group Practice or individual's line 1 address
City	HACKENSACK
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	076011960
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2013432277
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HACKENSACK UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y