Organization Active NPI

Rose R Capuz

  • Pediatric Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1215399043
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
276507-1 Issued in NY
Legal business name
ROSE R CAPUZ
Practice address
122 St Nicholas Avenue
Suite 2
Brooklyn, NY 11237
Phone
(917) 743-0542
Fax
(347) 689-8136
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Rose R Capuz, LPN
Title
LPN
Phone
(917) 743-0542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 276507-1 NY Primary

Addresses

Primary practice location

122 St Nicholas Avenue
Suite 2
Brooklyn, NY 11237

Mailing address

122 St Nicholas Avenue
Suite 2
Brooklyn, NY 11237
Phone (917) 743-0542

National Provider Directory

National Provider Directory

Locations

122 Saint Nicholas Ave
Ste 2
Brooklyn, NY 11237
Phone (917) 743-0542

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1215399043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ST NICHOLAS AVENUE",
            "address_2": "SUITE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "917-743-0542",
            "fax_number": "347-689-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 ST NICHOLAS AVENUE",
            "address_2": "SUITE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "917-743-0542",
            "fax_number": "347-689-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE R CAPUZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "CAPUZ",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "917-743-0542",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "276507-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.