Individual provider Active NPI

Christopher Capicotto, DO

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1124688593
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
318164 Issued in NY
Practice address
11 W 36TH St FL 4
New York, NY 10018-7145
Phone
(917) 243-5868
Fax
(800) 420-9521
NPI assigned
Jun 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS21729 FL
Internal Medicine Physician 207R00000X 318164 NY Primary
Internal Medicine Physician 207R00000X 20A25218 CA

Addresses

Primary practice location

11 W 36TH St FL 4
New York, NY 10018-7145

Mailing address

11 W 36TH St FL 4
New York, NY 10018-7145
Phone (917) 243-5868

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A25218CAMDInternal Medicine Physician
OS21729FLMDInternal Medicine Physician
318164NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1124688593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W 36TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187145",
            "telephone_number": "917-243-5868",
            "fax_number": "800-420-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W 36TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187145",
            "telephone_number": "917-243-5868",
            "fax_number": "800-420-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPICOTTO",
        "first_name": "CHRISTOPHER",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS21729",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "318164",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A25218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.