Cecelia Capozzoli, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2500 Nesconset Hwy BLDG 9
Stony Brook, NY 11790-2553

Phone

(631) 246-6100

NPI assigned

Dec 19, 2019

Last updated

Sep 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1497393565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HOWARD ST",
            "city": "EAST WILLISTON",
            "state": "NY",
            "postal_code": "115961420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 9",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902553",
            "telephone_number": "631-246-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOZZOLI",
        "first_name": "CECELIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Cantara, MS, ATC, CSCS
• Aisling Mary Cantillon
• Corrine Capitelli
• Maria del Mar Capo Martinez, M.D.
• Patricia Capobianco, FNP
• Valerie Capozzoli, CRNA
• Michael Giuseppe Caputo, DO
• Yaritza Marie Caraballo
• Nicolae S Caraiani, M.D.
• Stefanie Crystal Cardamone, M.D.

• Physician Assistant in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.