Camille J Capa, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003395 Issued in NY

Practice address

4446 Broadway
New York, NY 10040-2939

Phone

(718) 423-6745

Fax

(718) 423-6745

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780603720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308A CORPORAL KENNEDY ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601449",
            "telephone_number": "718-423-6745",
            "fax_number": "718-423-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4446 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402939",
            "telephone_number": "718-423-6745",
            "fax_number": "718-423-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPA",
        "first_name": "CAMILLE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE B/C & B/S",
            "identifier": "P36571",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE B/C & B/S",
            "identifier": "P36572",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Yue Cao, MD
• Tiffany Thithu Cao, MD
• Victoria Cao
• Vina Cao
• Cap Nutrition, LLC
• Ioana Capa, MD
• Kathleen Mary Capaccione, M.D., PH.D.
• Andrea Jane Capalbo, M.D.
• Brandon Capaldo, PA-C
• Levon Misak Capan, M.D.

• Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.