Organization Active NPI

Michael B Capobianco MD

  • Internal Medicine Physician
  • Glen Head, NY
National Provider Identifier
1699135954
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
143830 Issued in NY
Legal business name
MICHAEL B CAPOBIANCO MD
Practice address
3 Park PLZ Ste 1
Glen Head, NY 11545-1857
Phone
(516) 801-0334
NPI assigned
Feb 29, 2016
Last updated
Feb 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Dr. Michael B Capobianco, MDNPI 1821591132
Title
Physician
Phone
(516) 801-0334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 143830 NY Primary

Addresses

Primary practice location

3 Park PLZ Ste 1
Glen Head, NY 11545-1857

Mailing address

3 Park PLZ Ste 1
Glen Head, NY 11545-1857
Phone (516) 801-0334

National Provider Directory

National Provider Directory

Locations

3 Park Plz
Ste 1
Glen Head, NY 11545
Phone (516) 801-0334

Practitioners & affiliated clinicians

Practitioners 1

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": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1699135954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARK PLZ STE 1",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451857",
            "telephone_number": "516-801-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PARK PLZ STE 1",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451857",
            "telephone_number": "516-801-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B CAPOBIANCO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "CAPOBIANCO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-801-0334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "143830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Head, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.