Individual provider Active NPI

Tina Suzette Capalbo, RN

  • Registered Nurse
  • Pine Bush, NY
National Provider Identifier
1245576883
Registry record updated Jan 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
660290 Issued in NY
Practice address
129 Brimstone Hill Rd
Pine Bush, NY 12566-5470
Phone
(914) 489-9379
NPI assigned
Jan 1, 2013
Last updated
Jan 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 660290 NY Primary

Addresses

Primary practice location

129 Brimstone Hill Rd
Pine Bush, NY 12566-5470

Mailing address

129 Brimstone Hill Rd
Pine Bush, NY 12566-5470
Phone (914) 489-9379

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
660290NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1356998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356998400000",
    "number": "1245576883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BRIMSTONE HILL RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125665470",
            "telephone_number": "914-489-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BRIMSTONE HILL RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125665470",
            "telephone_number": "914-489-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPALBO",
        "first_name": "TINA",
        "middle_name": "SUZETTE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-01",
        "last_updated": "2013-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "660290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2013; 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.