Active NPI
Eddy Capote Jr. MD PC
- Adult Medicine Physician
- South Wales, NY
National Provider Identifier
1225355548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 251634
- Legal business name
- EDDY CAPOTE JR. MD PC
- Practice address
- 13105 Centerline Rd
South Wales, NY 14139-9764 - Phone
- (716) 713-1433
- NPI assigned
- Apr 26, 2010
- Last updated
- Apr 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eddy Capote Jr., MD
- Title
- Ceo
- Phone
- (716) 713-1433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 251634 | NY | Primary |
Addresses
Primary practice location
13105 Centerline Rd
South Wales, NY 14139-9764
Mailing address
13105 Centerline Rd
South Wales, NY 14139-9764
Phone (716) 713-1433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598902082 | Other | NY | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272240000000",
"number": "1225355548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13105 CENTERLINE RD",
"city": "SOUTH WALES",
"state": "NY",
"postal_code": "141399764",
"telephone_number": "716-713-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13105 CENTERLINE RD",
"city": "SOUTH WALES",
"state": "NY",
"postal_code": "141399764",
"telephone_number": "716-713-1433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDDY CAPOTE JR. MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-26",
"last_updated": "2010-04-26",
"status": "A",
"authorized_official_last_name": "CAPOTE",
"authorized_official_first_name": "EDDY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "716-713-1433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NY",
"license": "251634",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1598902082",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Wales, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.