Organization Active NPI

Nicholas J. Capuana, M.D., P.C.

  • Ophthalmology Physician
  • New Hartford, NY
National Provider Identifier
1386713162
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
112705 Issued in NY
Legal business name
NICHOLAS J. CAPUANA, M.D., P.C.
Practice address
2 Oxford Xing
Suite # 1
New Hartford, NY 13413-3236
Phone
(315) 733-0451
Fax
(315) 733-4435
NPI assigned
Nov 7, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Nicholas J Capuana, M.D.
Title
President
Phone
(315) 733-0451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 112705 NY Primary

Addresses

Primary practice location

2 Oxford Xing
Suite # 1
New Hartford, NY 13413-3236

Mailing address

2 Oxford Xing
Suite # 1
New Hartford, NY 13413-3236
Phone (315) 733-0451

Other identifiers 1

IdentifierTypeStateIssuer
00577853MedicaidNY

National Provider Directory

National Provider Directory

Locations

2 Oxford Xing
Ste 1
New Hartford, NY 13413
Phone (315) 733-0451

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1386713162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OXFORD XING",
            "address_2": "SUITE # 1",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134133236",
            "telephone_number": "315-733-0451",
            "fax_number": "315-733-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OXFORD XING",
            "address_2": "SUITE # 1",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134133236",
            "telephone_number": "315-733-0451",
            "fax_number": "315-733-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS J. CAPUANA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "CAPUANA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-733-0451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "112705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00577853",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.