Nicole Kapetanos, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

008268-1 Issued in NY

Practice address

1967 Turnbull Ave
Bronx, NY 10473-2519

Phone

(718) 792-4425

Fax

(718) 792-4096

NPI assigned

Aug 14, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790798320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 230TH ST",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642444",
            "telephone_number": "718-224-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1967 TURNBULL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732519",
            "telephone_number": "718-792-4425",
            "fax_number": "718-792-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPETANOS",
        "first_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "008268-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahsa Kanzali, M.D.
• Bijou Aziza Kanzo, RN
• Kao Physician Medical PC
• Andrew W Kao
• Meher K Kapadia, PT
• Jeegisha Kapila, PT, DPT
• Steven Kapinos, PA-C
• Irina Kaplan-Starikovsky
• Alexander Kaplan, MD
• Ananda Kaplan, RDN

• Medical Physician Assistant in Bronx, NY
• Providers in Bronx, NY by specialty
• Medical Physician Assistant 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.