Individual provider Active NPI

Emily L Capoccia, PA-C

  • Physician Assistant
  • Roslyn Heights, NY
National Provider Identifier
1679057715
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
022617 Issued in NY
Practice address
125 Mineola Ave
Roslyn Heights, NY 11577-2023
Phone
(800) 633-8446
NPI assigned
Sep 24, 2018
Last updated
Oct 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 022617 NY Primary

Addresses

Primary practice location

125 Mineola Ave
Roslyn Heights, NY 11577-2023

Mailing address

125 Mineola Ave
Roslyn Heights, NY 11577-2023

Other practice location 1

3795 Crompond Rd
Cortlandt Manor, NY 10567-7214
Phone (800) 633-8446

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4283CTMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: emily.l.rogan@xdr.hhchealthdirect.org

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1679057715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MINEOLA AVE",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MINEOLA AVE",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772023",
            "telephone_number": "800-633-8446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3795 Crompond Rd",
            "address_purpose": "LOCATION",
            "city": "Cortlandt Manor",
            "state": "NY",
            "postal_code": "105677214",
            "country_code": "US",
            "telephone_number": "800-633-8446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPOCCIA",
        "first_name": "EMILY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.