Organization Active NPI

Anthony L Capasso MD Primary Care

  • Adult Medicine Physician
  • Jacksonville Beach, FL
National Provider Identifier
1013301696
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
ANTHONY L CAPASSO MD PRIMARY CARE
Practice address
1351 13TH Ave S Ste 110
Jacksonville Beach, FL 32250-3237
Phone
(904) 249-9995
Fax
(904) 249-9449
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anthony L Capasso, MD
Title
President/Owner
Phone
(904) 249-9995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

1351 13TH Ave S Ste 110
Jacksonville Beach, FL 32250-3237

Mailing address

1351 13TH Ave S Ste 110
Jacksonville Beach, FL 32250-3237
Phone (904) 249-9995

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1013301696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 13TH AVE S STE 110",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503237",
            "telephone_number": "904-249-9995",
            "fax_number": "904-249-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 13TH AVE S STE 110",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503237",
            "telephone_number": "904-249-9995",
            "fax_number": "904-249-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY L CAPASSO MD PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "CAPASSO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "904-249-9995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.