Active NPI
Luigi M Capobianco, MD
- Internal Medicine Physician
- Glen Cove, NY
National Provider Identifier
1902903099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 174738
- Practice address
- 1 School St
Glen Cove, NY 11542-2545 - Phone
- (516) 671-9800
- Fax
- (516) 671-9283
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 174738 | NY | Primary |
Addresses
Primary practice location
1 School St
Glen Cove, NY 11542-2545
Mailing address
972 Brush Hollow Rd
4TH Floor
Westbury, NY 11590-1740
Phone (516) 876-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01463932 | 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051006000139 | NY | Practitioner - Family Practice | 0648295980 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Long Island Jewish Healthcare | Internal Medicine | Past | Accepting new patients |
| North Shore-Lij Medical PC | Internal Medicine | Past | Accepting new patients |
| Senior Healthcare Associates, LLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Glen Cove, NY
- NPI 1467686949
Internal Medicine
-
- Cardiovascular Disease Physician
- Westbury, NY
- NPI 1215019500
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1902903099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "972 BRUSH HOLLOW RD",
"address_2": "4TH FLOOR",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115901740",
"telephone_number": "516-876-5555",
"fax_number": "516-876-5539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SCHOOL ST",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422545",
"telephone_number": "516-671-9800",
"fax_number": "516-671-9283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPOBIANCO",
"first_name": "LUIGI",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "174738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01463932",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.