NPIMap

Organization Active NPI

Caponegro Urological Associates MDPC

  • Urology Physician
  • Ridgewood, NY
National Provider Identifier
1114054483
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
083391-1 Issued in NY
Legal business name
CAPONEGRO UROLOGICAL ASSOCIATES MDPC
Practice address
6810 Forest Ave
Ridgewood, NY 11385-4468
Phone
(718) 497-3503
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert James Caponegro, M.D.
Title
President
Phone
(718) 497-3503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 083391-1 NY Primary

Addresses

Primary practice location

6810 Forest Ave
Ridgewood, NY 11385-4468

Mailing address

734 Franklin Ave
#231
Garden City, NY 11530-4525
Phone (516) 326-2235

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114054483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 FRANKLIN AVE",
            "address_2": "#231",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304525",
            "telephone_number": "516-326-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 FOREST AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854468",
            "telephone_number": "718-497-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPONEGRO UROLOGICAL ASSOCIATES MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAPONEGRO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-497-3503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "083391-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.