Active NPI
Eugenio M Capitle Jr., MD
- Allergy & Immunology Physician
- Hauppauge, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 5972090
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- 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
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5972090 | NY | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Allergy & Immunology | Current | Accepting new patients |
| Asthma, Sinus and Allergy Centers, LLC | Allergy & Immunology | Past | Accepting new patients |
| Two River Allergy & Asthma Group, LLC | Past | Accepting new patients | |
| Asthma & Allergy Medical Care PC | Allergy & Immunology | Past | 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.
-
dba University Medical Associates
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
Allergy & Immunology
-
- Allergy & Immunology Physician
- New York, NY
- NPI 1245421171
-
- Allergy & Immunology Physician
- Huntington, NY
- NPI 1801982236
-
- Allergy & Immunology Physician
- Cranford, NJ
- NPI 1457423022
-
- Specialist
- Tinton Falls, NJ
- NPI 1659443364
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.