Joann Capuano, NURSE PRACTITIONER
Individual provider Active NPI Family Medicine Physician · East Moriches, NY
NPI 1720165269 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720165269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- F301048 (NY)
- Practice address
- 516 Montauk Hwy
East Moriches, NY 11940-1225 - Phone
- (631) 874-2900
- Fax
- (631) 874-2948
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore-Lij Medical PC
Practice addresses (Care Compare)
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
516 Montauk Hwy
Suite 1
East Moriches, NY 11940-1236
Phone (631) 874-2900
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050516000170 | NY | Practitioner - Nurse Practitioner | 9830130343 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F301048 | NY | MD | Family Medicine Physician |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Family Medicine | Current |
Accepting new patients |
Locations
516 Montauk Hwy
Ste 1
East Moriches, NY 11940
Phone (631) 874-2900
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jcapuano60845@northwell.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F301048 | NY | Yes |
Addresses
Primary practice location
516 Montauk Hwy
East Moriches, NY 11940-1225
Mailing address
516 Montauk Hwy
East Moriches, NY 11940-1225
Phone (631) 874-2900
Other providers in East Moriches, NY
- Mary Brickers
- Steffany K Brower
- Sean D Brown
- Jeanette Burling
- James B. Campbell
- Toni A Carrozza
- Conor Vincent Cassara
- John Vincent Celentano
- Christine Michele Clyne
- Hannah Rose Croce
All providers in East Moriches, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.