Dominic Cappelleri, MD
Individual provider Active NPI Internal Medicine Physician · Goshen, NY
NPI 1912985227 · NPPES record last updated Jan 15, 2014
Key facts
- NPI
- 1912985227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 113179 (NY)
- Practice address
- 888 Pulaski Hwy
Hudson River Healthcare, Inc.
Goshen, NY 10924-6034 - Phone
- (845) 651-2298
- Fax
- (845) 651-2299
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Medical Group, P.C. | Internal Medicine | Current |
Accepting new patients |
| Horizon Medical Group, P.C. | Past |
Accepting new patients | |
| Sun River Health Inc | Past | Accepting new patients |
Locations
30 Hatfield Ln
Ste 101
Goshen, NY 10924
Phone (845) 284-2733
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGICBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 113179 | NY | Yes |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 113179 | NY |
Addresses
Primary practice location
888 Pulaski Hwy
Hudson River Healthcare, Inc.
Goshen, NY 10924-6034
Mailing address
1037 Main St
Hudson River Healthcare, Inc.
Peekskill, NY 10566-2913
Phone (914) 734-8800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00537962 | Medicaid | NY |
Other providers in Goshen, NY
- Carla Maria Campos
- Kim A Candela
- Guadalupe Canete-Guerrero
- Jennifer Cannella
- Nicolette Grace Capocciamo
- Cardiology Consultants of Westchester
- Cardiology Consultants of Westchester, PC
- John Francis Carey
- Violetta Carpini
- Jonathan Carroll
All providers in Goshen, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.