Organization Active NPI

Anthony Capizzi, MD, PC

  • Surgery Physician
  • West Islip, NY
National Provider Identifier
1790053882
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
159239 Issued in NY
Legal business name
ANTHONY CAPIZZI, MD, PC
Practice address
786 Montauk Hwy
West Islip, NY 11795-4926
Phone
(631) 669-3700
Fax
(631) 669-0222
NPI assigned
Dec 5, 2011
Last updated
May 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Dr. Anthony Capizzi, MD,NPI 1427022003
Title
PC
Phone
(631) 669-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 159239 NY Primary

Addresses

Primary practice location

786 Montauk Hwy
West Islip, NY 11795-4926

Mailing address

786 Montauk Hwy
West Islip, NY 11795-4926
Phone (631) 669-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120105000584 NY Part B Supplier - Clinic/Group Practice 8628244050 Receives reassigned benefits from 2 practitioners
Practice locations: West Islip, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1790053882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954926",
            "telephone_number": "631-669-3700",
            "fax_number": "631-669-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954926",
            "telephone_number": "631-669-3700",
            "fax_number": "631-669-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY CAPIZZI, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "CAPIZZI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PC",
        "authorized_official_telephone_number": "631-669-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "159239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.