MEDICARE: LOUIS S ANGIOLETTI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0107X	Retina Specialist (Ophthalmology) Physician	25MA05776200	NJ
2	207WX0107X	Retina Specialist (Ophthalmology) Physician	172831	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	494489	OTHER	NJ	AETNA INSURANCE CO.
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	BS498	OTHER	NJ	OXFORD HEALTH PLANS
5	497561	OTHER	NY	AETNA INSURANCE CO.
6	OC5518	OTHER	NJ	HEALTHNET INSURANCE CO.

General Provider Information

NPI Number	:	1760481030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUIS S ANGIOLETTI M.D.

Provider Business Mailing Address
First Line	:	55 5TH AVE STE 1801
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-4301
Country	:	US
Telephone Number	:	212-691-4200
Fax Number	:	212-646-1964

Provider Business Practice Location Address
First Line	:	55 5TH AVE STE 1801
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-4301
Country	:	US
Telephone Number	:	212-691-4200
Fax Number	:	646-809-1964

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	02/19/2025

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Directions to “ LOUIS S ANGIOLETTI M.D.” Practice Location

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