Active NPI
Janaira Y Caputo, PA
- Physician Assistant
- Bronx, NY
National Provider Identifier
1801098736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 010489
- Practice address
- MMC Dept of Medicine
111 E. 210TH Street
Bronx, NY 10467 - Phone
- (718) 920-2961
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 010489 | NY | Primary |
Addresses
Primary practice location
MMC Dept of Medicine
111 E. 210TH Street
Bronx, NY 10467
Mailing address
3135 Johnson Avenue Apt 10F
Bronx, NY 10463
Phone (917) 579-7252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141119002409 | NY | Order and Referring Only - Physician Assistant | 0143442525 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010489 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496966400000",
"number": "1801098736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3135 JOHNSON AVENUE APT 10F",
"city": "BRONX",
"state": "NY",
"postal_code": "10463",
"telephone_number": "917-579-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MMC DEPT OF MEDICINE",
"address_2": "111 E. 210TH STREET",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-920-2961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPUTO",
"first_name": "JANAIRA",
"middle_name": "Y",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2017-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "010489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.