Active NPI
Loreto Capogna, DPM
- Podiatrist
- Massapequa, NY
National Provider Identifier
1871697912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N003626
- Practice address
- 6 Admiral Rd
Massapequa, NY 11758 - Phone
- (516) 541-1360
- Fax
- (516) 882-2133
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N003626 | NY | Primary |
Addresses
Primary practice location
6 Admiral Rd
Massapequa, NY 11758
Mailing address
6 Admiral Rd
Massapequa, NY 11758-7814
Phone (516) 541-1360
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC002679L | Other | PA | PA LICENSE NUMBER |
| 00787311 | Medicaid | NY |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101111001406 | NY | Practitioner - Podiatry | 0648465922 | Practice locations: Massapequa, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N003626 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1871697912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 ADMIRAL RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117587814",
"telephone_number": "516-541-1360",
"fax_number": "516-882-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 ADMIRAL RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "11758",
"telephone_number": "516-541-1360",
"fax_number": "516-882-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPOGNA",
"first_name": "LORETO",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N003626",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE NUMBER",
"identifier": "SC002679L",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00787311",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.