Individual provider Active NPI

Robert Capizzi, M.D.

  • Anesthesiology Physician
  • East Patchogue, NY
National Provider Identifier
1215023536
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
144630 Issued in NY
Practice address
101 Hospital Rd
East Patchogue, NY 11772-4870
Phone
(631) 475-7680
Fax
(631) 475-7683
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Anesthesiologists PC Anesthesiology Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 144630 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

101 Hospital Rd
East Patchogue, NY 11772-4870

Mailing address

250 Patchogue Yaphank Rd
Suite 3
East Patchogue, NY 11772-4800
Phone (631) 475-7680

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
02278375MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215023536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PATCHOGUE YAPHANK RD",
            "address_2": "SUITE 3",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724800",
            "telephone_number": "631-475-7680",
            "fax_number": "631-475-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724870",
            "telephone_number": "631-475-7680",
            "fax_number": "631-475-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPIZZI",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "144630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02278375",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.