Individual provider Active NPI

Michele Capaccio, P.A.

  • Physician Assistant
  • West Babylon, NY
National Provider Identifier
1841503463
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
013976 Issued in NY
Practice address
393 Sunrise Hwy Ste 2
West Babylon, NY 11704-5909
Phone
(631) 504-5755
Fax
(631) 504-5756
NPI assigned
Jul 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 013976 NY Primary

Addresses

Primary practice location

393 Sunrise Hwy Ste 2
West Babylon, NY 11704-5909

Mailing address

393 Sunrise Hwy Ste 2
West Babylon, NY 11704-5909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
013976NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C Past Accepting new patients
Alaaeldin Pediatrics, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michelecapaccio@nslijmedgr.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1841503463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 SUNRISE HWY STE 2",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117045909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 SUNRISE HWY STE 2",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117045909",
            "telephone_number": "631-504-5755",
            "fax_number": "631-504-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPACCIO",
        "first_name": "MICHELE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-24",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.