Organization Active NPI

Lucie Capek, MD, PLLC

  • Plastic Surgery Physician
  • Latham, NY
National Provider Identifier
1386781284
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
204519 Issued in NY
Legal business name
LUCIE CAPEK, MD, PLLC
Practice address
713 Troy Schenectady Rd
Suite 308
Latham, NY 12110-2490
Phone
(518) 786-1700
Fax
(518) 783-9241
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. Lucie Capek, M.D.
Title
Owner
Phone
(518) 786-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 204519 NY Primary

Addresses

Primary practice location

713 Troy Schenectady Rd
Suite 308
Latham, NY 12110-2490

Mailing address

713 Troy Schenectady Rd
Suite 308
Latham, NY 12110-2490
Phone (518) 786-1700

Other identifiers 1

IdentifierTypeStateIssuer
DG2474OtherNYMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

713 Troy Schenectady Rd
Ste 308
Latham, NY 12110
Phone (518) 786-1700

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1386781284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 TROY SCHENECTADY RD",
            "address_2": "SUITE 308",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102490",
            "telephone_number": "518-786-1700",
            "fax_number": "518-786-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 TROY SCHENECTADY RD",
            "address_2": "SUITE 308",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102490",
            "telephone_number": "518-786-1700",
            "fax_number": "518-783-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIE CAPEK, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "CAPEK",
        "authorized_official_first_name": "LUCIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-786-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "204519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG2474",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.