Organization
AQUA PURA LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK D'ANGELO MD (OWNER/PRESIDENT)
(917) 748-8341
Entity
Organization
Contact information
Practice address
191 BRADLEY AVE, STATEN ISLAND, NY 10314-5166
(917) 748-8341
Mailing address
3 CARPENDER RD, NEW BRUNSWICK, NJ 08901-1501
(732) 545-5771
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195391
LICENSE
NY
Enumeration date
01/27/2020
Last updated
01/27/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us