Individual provider Active NPI

Paul James Capobianco, D.O.

  • Family Medicine Physician
  • Boston, MA
National Provider Identifier
1578599528
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS16010 Issued in FL
Practice address
75 State St FL 26
Boston, MA 02109-1827
Phone
(855) 635-1393
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS16010 FL Primary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS16010 FL

Addresses

Primary practice location

75 State St FL 26
Boston, MA 02109-1827

Mailing address

1820 NE Jensen Beach Blvd # 512
Jensen Beach, FL 34957-7212
Phone (516) 435-5260

Other practice location 1

1820 NE Jensen Beach Blvd # 512
Jensen Beach, FL 34957-7212
Phone (516) 435-5260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230706003998 FL Practitioner - Osteopathic Manipulative Medicine 7214920453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
University of New England, College of Osteo Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1394 NE White Pine Ter
Jensen Beach, FL 34957-5786
Phone (516) 262-0884

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Capobianco, DO, P.a. Neuromusculoskeletal Medicine & Omm CurrentSince Mar 14, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3472 NE Savannah Rd
Jensen Beach, FL 34957
Phone (772) 208-8388

1820 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (516) 435-5260

75 State St
Fl 26
Boston, MA 02109
Phone (617) 204-3500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1578599528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 NE JENSEN BEACH BLVD # 512",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349577212",
            "telephone_number": "516-435-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 STATE ST FL 26",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091827",
            "telephone_number": "855-635-1393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 NE Jensen Beach Blvd # 512",
            "address_purpose": "LOCATION",
            "city": "Jensen Beach",
            "state": "FL",
            "postal_code": "349577212",
            "country_code": "US",
            "telephone_number": "516-435-5260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPOBIANCO",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS16010",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS16010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.