Liza Dorado Capistrano, RN

Key facts

NPI

1811334261

Entity type

Individual (NPI type 1)

Primary specialty

Medical-Surgical Registered Nurse 163WM0705X

License

602959-1 (NY)

Practice address

58 Howcroft Rd
Maywood, NJ 07607-1813

Phone

(201) 250-8105

NPI assigned

May 24, 2013

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 24, 2013.

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1811334261",
    "addresses": [
        {
            "country_code": "PH",
            "country_name": "Philippines",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "422-C ARDEN ST. GOODWILL 3 SUBD. BRGY. SAN ANTONIO SUCA",
            "city": "PARANAQUE",
            "state": "MANILA",
            "postal_code": "1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 HOWCROFT RD",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071813",
            "telephone_number": "201-250-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPISTRANO",
        "first_name": "LIZA",
        "middle_name": "DORADO",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "602959-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Maywood, NJ · Medical-Surgical Registered Nurse in New Jersey