Individual provider Active NPI

Eugenio M Capitle Jr., MD

  • Allergy & Immunology Physician
  • Hauppauge, NY
National Provider Identifier
1568411650
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
5972090 Issued in NY
Practice address
519 Route 111
Hauppauge, NY 11788-4350
Phone
(631) 724-3355
Fax
(631) 724-9751
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 5972090 NY
Allergy & Immunology Physician 207K00000X 5972090 NY Primary

Addresses

Primary practice location

519 Route 111
Hauppauge, NY 11788-4350

Mailing address

68 Nassau Rd
Huntington, NY 11743-3526
Phone (631) 423-5599

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ecapitle22304@direct.uhnj.org Direct University Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000771 NJ Practitioner - Allergy/ImmunologyPractitioner - Rheumatology 7012948995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Rheumatology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

140 Bergen St
Newark, NJ 07103-2425
Phone (973) 972-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5972090NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc Allergy & Immunology CurrentSince Jan 30, 2010 Accepting new patients
Asthma, Sinus and Allergy Centers, LLC Allergy & Immunology Past Accepting new patients
Two River Allergy & Asthma Group, LLC PastSince Jul 2, 2023 Accepting new patients
Asthma & Allergy Medical Care PC Allergy & Immunology PastSince Aug 1, 2020 Accepting new patients
University Hospital Past Accepting new patients
Allergy & Asthma Associates of Murray Hill, P C Allergy & Immunology Past Accepting new patients

Locations

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037

140 Bergen St
Newark, NJ 07103
Phone (973) 972-0320

Organizations & group practices 6

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 1

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1568411650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 NASSAU RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433526",
            "telephone_number": "631-423-5599",
            "fax_number": "631-423-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 ROUTE 111",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884350",
            "telephone_number": "631-724-3355",
            "fax_number": "631-724-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPITLE",
        "first_name": "EUGENIO",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "5972090",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "5972090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecapitle22304@direct.uhnj.org",
            "affiliation": "Y",
            "endpointDescription": "Epic",
            "affiliationName": "University Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "150 Bergen St",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071032496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.