Individual provider Active NPI

Anthony D Capobianco, M.D.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Glen Cove, NY
National Provider Identifier
1972600674
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
162692-1 Issued in NY
Practice address
20 Landing Rd
Glen Cove, NY 11542-2414
Phone
(516) 671-5076
Fax
(516) 671-5084
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 162692-1 NY Primary
Family Medicine Physician 207Q00000X 162692-1 NY

Addresses

Primary practice location

20 Landing Rd
Glen Cove, NY 11542-2414

Mailing address

20 Landing Rd
Glen Cove, NY 11542-2414
Phone (516) 671-5076

Other identifiers 2

IdentifierTypeStateIssuer
162692-1OtherNYMEDICAL LICENSE NUMBER
42945OtherAMER OSTEOPATHIC ASSOC. #

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110329000264 NY Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 0244413292 Practice locations: Glen Cove, NY

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
University of New England, College of Osteo Medicine, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 Landing Rd
Glen Cove, NY 11542-2414
Phone (516) 671-5076

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
162692-1NYMDNeuromusculoskeletal Medicine & OMM Physician

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972600674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LANDING RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422414",
            "telephone_number": "516-671-5076",
            "fax_number": "516-671-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LANDING RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422414",
            "telephone_number": "516-671-5076",
            "fax_number": "516-671-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOBIANCO",
        "first_name": "ANTHONY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "162692-1",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "162692-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "162692-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMER OSTEOPATHIC ASSOC. #",
            "identifier": "42945",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.