Active NPI
John Capino MD PC
- Specialist
- Lowell, MA
National Provider Identifier
1760889331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 57517
- Legal business name
- JOHN CAPINO MD PC
- Practice address
- 1230 Bridge St
Suite 2
Lowell, MA 01850-1291 - Phone
- (978) 452-2100
- Fax
- (978) 446-0490
- NPI assigned
- Nov 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Madelein Capino
- Title
- Practice Manager
- Phone
- (978) 452-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 57517 | MA | Primary |
Addresses
Primary practice location
1230 Bridge St
Suite 2
Lowell, MA 01850-1291
Mailing address
1230 Bridge St
Suite 2
Lowell, MA 01850-1291
Phone (978) 452-2100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881891855 | Other | MA | NPI |
| 110067900A | Medicaid | MA |
Other names 1
- Merrimack Eye Clinic
National Provider Directory
National Provider Directory- Tax ID family
- John Capino MD PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Lowell, MA
- NPI 1881891885
Locations
1230 Bridge St
Ste 2
Lowell, MA 01850
Phone (978) 452-2100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Lowell, MA
- NPI 1730147612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416960000000",
"number": "1760889331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 BRIDGE ST",
"address_2": "SUITE 2",
"city": "LOWELL",
"state": "MA",
"postal_code": "018501291",
"telephone_number": "978-452-2100",
"fax_number": "978-446-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 BRIDGE ST",
"address_2": "SUITE 2",
"city": "LOWELL",
"state": "MA",
"postal_code": "018501291",
"telephone_number": "978-452-2100",
"fax_number": "978-446-0490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN CAPINO MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-26",
"last_updated": "2014-11-26",
"status": "A",
"authorized_official_last_name": "CAPINO",
"authorized_official_first_name": "MADELEIN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "978-452-2100"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MA",
"license": "57517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1881891855",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110067900A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Merrimack Eye Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.