Individual provider Active NPI

Anthony Joseph Mezzacappa, LPN

  • Licensed Practical Nurse
  • Rhinebeck, NY
National Provider Identifier
1043092687
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
265558 Issued in NY
Practice address
248 Fox Hollow Rd
Rhinebeck, NY 12572-3641
Phone
(800) 532-4357
NPI assigned
Oct 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 265558 NY Primary

Addresses

Primary practice location

248 Fox Hollow Rd
Rhinebeck, NY 12572-3641

Mailing address

1 Shady LN
Rhinebeck, NY 12572-1018
Phone (518) 947-8607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1043092687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHADY LN",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721018",
            "telephone_number": "518-947-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 FOX HOLLOW RD",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723641",
            "telephone_number": "800-532-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZZACAPPA",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "265558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.