Organization Active NPI

Scott R. Capustin MD PLLC

  • Pulmonary Disease Physician
  • Smithtown, NY
National Provider Identifier
1730296864
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SCOTT R. CAPUSTIN MD PLLC
Practice address
269 E Main St
BLDG E
Smithtown, NY 11787-2832
Phone
(631) 361-7444
Fax
(631) 361-4645
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Dr. Scott R Capustin, MD
Title
Owner
Phone
(631) 361-7444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

269 E Main St
BLDG E
Smithtown, NY 11787-2832

Mailing address

269 E Main St
BLDG E
Smithtown, NY 11787-2832
Phone (631) 361-7444

National Provider Directory

National Provider Directory

Locations

269 E Main St
Bldg E
Smithtown, NY 11787
Phone (631) 361-7444

267 E Main St
Bldg C
Smithtown, NY 11787
Phone (631) 257-5290

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1730296864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 E MAIN ST",
            "address_2": "BLDG E",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872832",
            "telephone_number": "631-361-7444",
            "fax_number": "631-361-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 E MAIN ST",
            "address_2": "BLDG E",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872832",
            "telephone_number": "631-361-7444",
            "fax_number": "631-361-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT R. CAPUSTIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "CAPUSTIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-361-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.