Active NPI
Enza P Caputo, M.D.
- Pediatrics Physician
- Pleasantville, NJ
National Provider Identifier
1629041850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA06431200
- Practice address
- 22 N Franklin Blvd
1St Floor
Pleasantville, NJ 08232-2547 - Phone
- (609) 272-9040
- Fax
- (609) 272-9055
- NPI assigned
- Feb 8, 2006
- Last updated
- Sep 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA06431200 | NJ | Primary |
Addresses
Primary practice location
22 N Franklin Blvd
1St Floor
Pleasantville, NJ 08232-2547
Mailing address
22 N Franklin Blvd
2ND Floor
Pleasantville, NJ 08232-2547
Phone (609) 272-0655
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223360408-075 | Other | NH | QUALCARE |
| P1655647 | Other | NJ | OXFORD |
| 2K5183 | Other | NJ | HEALTHNET |
| 0169277 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA06431200 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliance Medical Group, LLC | Pediatrics | Past | Accepting new patients |
| Monmouth Medical Center Inc | Past | Accepting new patients | |
| Pediatric Affiliates PA | Pediatrics | Past | Accepting new patients |
| HMH Hospitals Corporation | Past | Accepting new patients | |
| Reliance Medical Group LLC | Past | Accepting new patients | |
| Shore Health Group, PC | Pediatrics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jersey Shore University Medical Center
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
-
- Pediatrics Physician
- Toms River, NJ
- NPI 1669404018
-
- Specialist
- Northfield, NJ
- NPI 1861555294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1629041850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 N FRANKLIN BLVD",
"address_2": "2ND FLOOR",
"city": "PLEASANTVILLE",
"state": "NJ",
"postal_code": "082322547",
"telephone_number": "609-272-0655",
"fax_number": "609-272-9317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 N FRANKLIN BLVD",
"address_2": "1ST FLOOR",
"city": "PLEASANTVILLE",
"state": "NJ",
"postal_code": "082322547",
"telephone_number": "609-272-9040",
"fax_number": "609-272-9055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPUTO",
"first_name": "ENZA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA06431200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCARE",
"identifier": "223360408-075",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1655647",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2K5183",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0169277",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasantville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.