IndividualActive
Angela Fagen
NPI 1104188945 · Specialist · Staten Island, NY
Angela Fagen is a Specialist provider in Staten Island, NY (NPI 1104188945).
Provider details
- NPI number
- 1104188945
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 265776021 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
31 Marc St
Staten Island, NY 10314-7442
Phone: (631) 807-2821
Street-level locationGet directions
Mailing address
31 Marc St
Staten Island, NY 10314-7442
Registry dates
- Enumerated
- 2012-06-07
- Last updated
- 2012-06-07
Frequently asked questions
- What is Angela Fagen's NPI number?
- Angela Fagen's National Provider Identifier (NPI) is 1104188945, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Angela Fagen's specialty?
- Angela Fagen is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Angela Fagen located?
- Angela Fagen's practice location on file with NPPES is 31 Marc St, Staten Island, NY 10314-7442.
- What is Angela Fagen's phone number?
- The practice phone number listed in the NPPES registry for Angela Fagen is (631) 807-2821.
- Is Angela Fagen's NPI active?
- Yes — Angela Fagen's NPI (1104188945) is active in the NPPES registry as of the last update on 2012-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.