Individual provider Active NPI

Stefanie Marie Cappellino, NP

  • Adult Health Nurse Practitioner
  • West Babylon, NY
National Provider Identifier
1659180107
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F311890 Issued in NY
Practice address
60 Fleets Point Dr
West Babylon, NY 11704-8314
Phone
(631) 321-0033
NPI assigned
Dec 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F311890 NY Primary

Addresses

Primary practice location

60 Fleets Point Dr
West Babylon, NY 11704-8314

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606000130 NY Practitioner - Nurse Practitioner 2062922347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
311890NYMDNeuroradiology Physician
F311890NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dinesh Sethi Physician PC CurrentSince Mar 15, 2025 Accepting new patients

Locations

305 Locust Ave
Oakdale, NY 11769
Phone (631) 218-5900

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

1521 Straight Path
Wyandanch, NY 11798
Phone (631) 643-3800

Organizations & group practices 1

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": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1659180107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FLEETS POINT DR",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117048314",
            "telephone_number": "631-321-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FLEETS POINT DR",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117048314",
            "telephone_number": "631-321-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPELLINO",
        "first_name": "STEFANIE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

Verify at the official NPI Registry.