Organization Active NPI

John Capino MD PC

  • Specialist
  • Lowell, MA
National Provider Identifier
1760889331
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
57517 Issued in MA
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

Updated by the provider on Nov 26, 2014

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1881891855OtherMANPI
110067900AMedicaidMA

Other names 1

  • Merrimack Eye Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John Capino MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.