Nicholas Caponegro

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

046640 Issued in NY

Practice address

309 E Middle Country Rd Ste 202
Smithtown, NY 11787-2844

Phone

(631) 656-5665

Fax

(631) 656-5664

NPI assigned

Dec 14, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1124614276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002",
            "telephone_number": "631-359-5859",
            "fax_number": "631-396-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E MIDDLE COUNTRY RD STE 202",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872844",
            "telephone_number": "631-656-5665",
            "fax_number": "631-656-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPONEGRO",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbra Canale-Digiovanna, LCSW
• Abigail L Canaletich
• Lisa R. Cane, PH.D.
• Xinping Cao, L.AC.
• Gloria Capogna
• Carole Randi Capparelli, ANP
• Cecilia Capuano King, DPM
• Alexa Nicole Capuano, PHYSICIAN ASSISTANT
• Scott R Capustin, M.D.
• Jessica Carbonara, LMT

• Physical Therapist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.