Individual provider Active NPI

Lisa Capoziello

  • Specialist
  • Staten Island, NY
National Provider Identifier
1174944490
Registry record updated Jan 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
48 Middle Loop Rd
Staten Island, NY 10308-1923
Phone
(917) 968-3921
NPI assigned
Jan 5, 2014
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

NPPES NPI Registry

Primary practice location

48 Middle Loop Rd
Staten Island, NY 10308-1923

Mailing address

48 Middle Loop Rd
Staten Island, NY 10308-1923
Phone (917) 968-3921

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2014.

{
    "created_epoch": "1388880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388880000000",
    "number": "1174944490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MIDDLE LOOP RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081923",
            "telephone_number": "917-968-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MIDDLE LOOP RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081923",
            "telephone_number": "917-968-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOZIELLO",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-05",
        "last_updated": "2014-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2014; 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.