Maria Rosa Capozzolo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015818 Issued in NY

Practice address

349 W Commercial St Ste 2795
East Rochester, NY 14445-2402

Phone

(585) 340-2000

Fax

(585) 340-2006

NPI assigned

Jul 4, 2006

Last updated

Oct 19, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heritage Christian Services Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • East Rochester, NY
  • NPI 1700077443
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1740210848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 W COMMERCIAL ST STE 2795",
            "city": "EAST ROCHESTER",
            "state": "NY",
            "postal_code": "144452402",
            "telephone_number": "585-340-2000",
            "fax_number": "585-340-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 W COMMERCIAL ST STE 2795",
            "city": "EAST ROCHESTER",
            "state": "NY",
            "postal_code": "144452402",
            "telephone_number": "585-340-2000",
            "fax_number": "585-340-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOZZOLO",
        "first_name": "MARIA",
        "middle_name": "ROSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355344",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11551142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Terese Brown-Carter, OPTICIAN
• Cheryl Ann Brunelle, DDS
• Caitlin A Burke, LPN
• Miranda Burruano
• Stephen A Campo, RN
• Cardiac Life Products, Inc.
• Kristan Carlotta, RN
• Denise Jane Carroll, R.N.
• Mary Ann Catalano, PT
• Cheryl a Brunelle DDS PC (Lilac Family Dental Care)

• Speech-Language Pathologist in East Rochester, NY
• Providers in East Rochester, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.