Individual provider Active NPI

Anthony Cappellino, MD

  • Orthopaedic Surgery Physician
  • West Babylon, NY
National Provider Identifier
1851409627
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
211624 Issued in NY
Practice address
60 Fleets Point Dr Ste 1
West Babylon, NY 11704-8314
Phone
(631) 689-6698
Fax
(631) 751-5548
NPI assigned
Aug 29, 2006
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 211624 NY
Orthopaedic Surgery Physician 207X00000X 211624 NY Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 211624 NY

Addresses

Primary practice location

60 Fleets Point Dr Ste 1
West Babylon, NY 11704-8314

Mailing address

60 Fleets Point Dr Ste 1
West Babylon, NY 11704-8314
Phone (631) 689-6698

Other identifiers 2

IdentifierTypeStateIssuer
211624OtherNYNYS LICENSE #
200657574OtherNYTAX IDENTIFICATION

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412001301 NY Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2163416249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

60 Fleets Point Dr
Suite 1
West Babylon, NY 11704-8314
Phone (631) 689-6698

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.33 of 100Reported as individual
Quality
7.71
Promoting interoperability
0
Improvement activities
0
Cost
73.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement31
Knee replacement71
Lower limb (leg) arthroscopy (minimally invasive joint repair)15
Upper limb (arm) arthroscopy (minimally invasive joint repair)57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Assoc of Long Island Physicians & Medical Group PLLC Orthopaedic Surgery CurrentSince Jun 20, 2019 Accepting new patients
Orthopedic Assoc of Long Island Physicians & Medical Group PLLC CurrentSince Jun 20, 2019 Accepting new patients
Orthopedic Associates of Long Island LLP Orthopaedic Surgery CurrentSince May 1, 2015 Accepting new patients
South Shore Orthopaedic Associates Orthopaedic Surgery Past Accepting new patients
Precision SC, LLC Past Accepting new patients

Locations

2112 Middle Country Rd
Centereach, NY 11720
Phone (631) 247-7463

28 Research Way
East Setauket, NY 11733
Phone (631) 380-2710

6 Technology Dr
Ste 100
East Setauket, NY 11733
Phone (631) 371-2685

6144 Route 25A
Ste 5
Wading River, NY 11792

60 Fleets Point Dr
Ste 1
West Babylon, NY 11704
Phone (631) 321-0033

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: anthonycappellino@oali.ssdirect.aprima.com

Organizations & group practices 5

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1851409627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FLEETS POINT DR STE 1",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117048314",
            "telephone_number": "631-689-6698",
            "fax_number": "631-751-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FLEETS POINT DR STE 1",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117048314",
            "telephone_number": "631-689-6698",
            "fax_number": "631-751-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPELLINO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "211624",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "211624",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "211624",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE #",
            "identifier": "211624",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "200657574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

Verify at the official NPI Registry.