Active NPI
Anthony D Capobianco, M.D.
- Neuromusculoskeletal Medicine & OMM Physician
- Glen Cove, NY
National Provider Identifier
1972600674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 162692-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162692-1 | Other | NY | MEDICAL LICENSE NUMBER |
| 42945 | Other | AMER 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110329000264 | NY | Practitioner - Osteopathic Manipulative Medicine | 0244413292 | Practice locations: Glen Cove, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- 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
- Northwell Hospital Glen Cove
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 51 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162692-1 | NY | MD | Neuromusculoskeletal Medicine & OMM Physician |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Cove, NY
- NPI 1295743060
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.