Individual provider Active NPI

Deborha M Caputo, CS-FNP

  • Internal Medicine Physician
  • Pomona, NY
National Provider Identifier
1508939281
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
331547 Issued in NY
Practice address
974 Route 45
Suite 2000
Pomona, NY 10970-3520
Phone
(845) 354-3700
Fax
(845) 354-5573
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 331547 NY Primary

Addresses

Primary practice location

974 Route 45
Suite 2000
Pomona, NY 10970-3520

Mailing address

974 Route 45
Suite 2000
Pomona, NY 10970-3520
Phone (845) 354-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000958 NY Practitioner - Nurse Practitioner 0143251652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Care of Long Island PLLC 175 clinicians

Practice addresses (Care Compare)

187 Veterans Blvd
Massapequa, NY 11758-4982
Phone (516) 795-5523

974 Route 45
Suite 2000
Pomona, NY 10970-3517
Phone (845) 354-3700

Hospital & facility affiliations

  • Nyack Hospital Hospital, Nyack, NY, CCN 330104
  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
Gastrointestinal Care of Long Island PLLC CurrentSince Jan 12, 2024 Accepting new patients

Locations

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: deborha.caputo.1@24721.direct.athenahealth.com
  • Direct secure messaging: deborha.caputo@ddar.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508939281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 ROUTE 45",
            "address_2": "SUITE 2000",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703520",
            "telephone_number": "845-354-3700",
            "fax_number": "845-354-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 ROUTE 45",
            "address_2": "SUITE 2000",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703520",
            "telephone_number": "845-354-3700",
            "fax_number": "845-354-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTO",
        "first_name": "DEBORHA",
        "middle_name": "M",
        "credential": "CS-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "331547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.