Individual provider Active NPI

Justin L Cappiello, MD

  • Ophthalmology Physician
  • Lancaster, PA
National Provider Identifier
1043259559
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
031932L Issued in PA
Practice address
324 N Duke St
Lancaster, PA 17603-4952
Phone
(717) 394-6808
Fax
(717) 299-4133
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 031932L PA Primary

Addresses

Primary practice location

324 N Duke St
Lancaster, PA 17603-4952

Mailing address

324 N Duke St
Lancaster, PA 17602-4952
Phone (717) 394-6808

Other identifiers 3

IdentifierTypeStateIssuer
563815OtherPABLUE SHIELD
0726097MedicaidPA
01154801OtherPACAPITAL BLUE CROSS

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
031932LPAMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: jcappiello@directaddress.net

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1043259559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024952",
            "telephone_number": "717-394-6808",
            "fax_number": "717-299-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034952",
            "telephone_number": "717-394-6808",
            "fax_number": "717-299-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPIELLO",
        "first_name": "JUSTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "031932L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "563815",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0726097",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01154801",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.