James R. Caputo M.D.P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

206065-1 Issued in NY

Legal business name

JAMES R. CAPUTO M.D.P.C.

Doing business as

The Good Life Centre for Women

Practice address

739 Irving Ave
Suite 300
Syracuse, NY 13210-1640

Phone

(315) 475-8599

Fax

(315) 475-8577

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

James Richard Caputo, M.D.

Title

President

Phone

(315) 475-8599

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Good Life Centre for Women Doing business as

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1316044571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 IRVING AVE",
            "address_2": "SUITE 300",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101640",
            "telephone_number": "315-475-8599",
            "fax_number": "315-475-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 IRVING AVE",
            "address_2": "SUITE 300",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101640",
            "telephone_number": "315-475-8599",
            "fax_number": "315-475-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. CAPUTO M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "CAPUTO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-475-8599",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "206065-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01766036",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Good Life Centre for Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Genevieve Jakaub
• Muhammad Safwan Jalal, MD
• Sumeen Jalees
• Kiabeh Jallah
• Sanober Jamali
• James Square Comprehensive Outpatient Facility
• James Street Dental Arts, PC
• Catherine James
• Elizabeth James
• Herbert I James Jr., M.D.

• Medical Specialty Clinic/Center in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.