Active NPI
Jaishree Capoor, MD
- Pediatric Rehabilitation Medicine Physician
- Elmhurst, NY
National Provider Identifier
1063455202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- 215693
- Practice address
- 94-25 59TH Avenue
Unit F7
Elmhurst, NY 11373 - Phone
- (718) 760-1600
- Fax
- (718) 760-1634
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Spinal Cord Injury Medicine Physician | 2081P0004X | 215693 | NY | |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 215693 | NY | Primary |
Addresses
Primary practice location
94-25 59TH Avenue
Unit F7
Elmhurst, NY 11373
Mailing address
404 East 66TH Street
Apt 12G
New York, NY 10021
Phone (917) 558-3593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02230188 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 215693 | NY | MD | Spinal Cord Injury Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capoor Pediatric Neuromuscular Rehabilitation, PC | Spinal Cord Injury Medicine | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Rehabilitation Medicine Physician
- Elmhurst, NY
- NPI 1396887220
Spinal Cord Injury Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1063455202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 EAST 66TH STREET",
"address_2": "APT 12G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "917-558-3593",
"fax_number": "646-390-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-25 59TH AVENUE",
"address_2": "UNIT F7",
"city": "ELMHURST",
"state": "NY",
"postal_code": "11373",
"telephone_number": "718-760-1600",
"fax_number": "718-760-1634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPOOR",
"first_name": "JAISHREE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "NY",
"license": "215693",
"primary": false
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "NY",
"license": "215693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02230188",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
- Zoila Josefina Cano Rodriguez, MD
- Gordon Michael Cantor, MD
- Peter Cao, PHARMD
- Anjela Pilapil Capangpangan, PT
- Capoor Pediatric Neuromuscular Rehabilitation, PC
- Ralph Jeffrey Capra, PA
- Victoria Antoinette Abad Caram
- Cardio Vascular Diagnostics PC
- Cardiovascular Care Nyc PC
- Cardiovascular Diagnostics, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.