NPIMap

Organization Active NPI

Anthony Cappellino MD PC

  • Sports Medicine (Family Medicine) Physician
  • West Babylon, NY
National Provider Identifier
1598954158
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
211624NY Issued in NY
Legal business name
ANTHONY CAPPELLINO MD PC
Practice address
60 Fleets Point Dr
Suite 1
West Babylon, NY 11704-8314
Phone
(631) 321-0033
Fax
(631) 321-0039
NPI assigned
Oct 19, 2007
Last updated
May 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Mrs. Barbara Harris, OFF. MGR
Title
Office Manager
Phone
(631) 321-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 211624NY NY Primary

Addresses

Primary practice location

60 Fleets Point Dr
Suite 1
West Babylon, NY 11704-8314

Mailing address

60 Fleets Point Dr
Suite 1
West Babylon, NY 11704-8314
Phone (631) 321-0033

National Provider Directory

National Provider Directory

Locations

1145 Montauk Hwy
West Islip, NY 11795
Phone (631) 321-0033

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1598954158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FLEETS POINT DR",
            "address_2": "SUITE 1",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117048314",
            "telephone_number": "631-321-0033",
            "fax_number": "631-321-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FLEETS POINT DR",
            "address_2": "SUITE 1",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117048314",
            "telephone_number": "631-321-0033",
            "fax_number": "631-321-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY CAPPELLINO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-321-0033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OFF. MGR"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "211624NY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.