Organization Active NPI

John Capino, MD PC

  • Specialist
  • Lowell, MA
National Provider Identifier
1881891885
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
57517 Issued in MA
Legal business name
JOHN CAPINO, MD PC
Practice address
1230 Bridge St
Lowell, MA 01850-1261
Phone
(978) 452-2100
Fax
(978) 446-0490
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Dr. John Capino, M.D.NPI 1730147612
Title
President
Phone
(978) 452-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 57517 MA
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X 57517 MA
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 57517 MA Primary

Addresses

Primary practice location

1230 Bridge St
Lowell, MA 01850-1261

Mailing address

1230 Bridge St
Lowell, MA 01850-1261
Phone (978) 452-2100

Other identifiers 1

IdentifierTypeStateIssuer
9713182MedicaidMA

Other names 1

  • Merrimack Eye Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080314000189 MA Part B Supplier - Clinic/Group Practice 0547345589 Receives reassigned benefits from 1 practitioner
Practice locations: Lowell, MA

National Provider Directory

National Provider Directory
Tax ID family
John Capino MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: jcapino@merrimackeye.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1881891885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 BRIDGE ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018501261",
            "telephone_number": "978-452-2100",
            "fax_number": "978-446-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BRIDGE ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018501261",
            "telephone_number": "978-452-2100",
            "fax_number": "978-446-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CAPINO, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "CAPINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-452-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "57517",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "57517",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "57517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9713182",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merrimack Eye Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.