John Vito Capotorto, M.D.

Key facts

NPI

1962406306

Entity type

Individual (NPI type 1)

Primary specialty

Endocrinology, Diabetes & Metabolism Physician 207RE0101X

License

185928 (NY)

Practice address

3311 Hylan Blvd
Staten Island, NY 10306

Phone

(718) 980-9270

Fax

(718) 980-1317

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

Yes

Organizations & group practices 1

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.

• University Physicians Group P C General Practice Physician · Staten Island, NY · NPI 1104872134
  NPD (past) ENDOCRINOLOGY, DIABETES & METABOLISM

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 9, 2010.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286582400000",
    "number": "1962406306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306",
            "telephone_number": "718-980-9270",
            "fax_number": "718-980-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306",
            "telephone_number": "718-980-9270",
            "fax_number": "718-980-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOTORTO",
        "first_name": "JOHN",
        "middle_name": "VITO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "185928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Staten Island, NY · Endocrinology, Diabetes & Metabolism Physician in New York