Organization Active NPI

Eddy Capote Jr. MD PC

  • Adult Medicine Physician
  • South Wales, NY
National Provider Identifier
1225355548
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
251634 Issued in NY
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1598902082OtherNYINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.