Active NPI
Marilyn R Capek MD PC
- Dermatology Physician
- Winchester, MA
National Provider Identifier
1982871893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 45920
- Legal business name
- MARILYN R CAPEK MD PC
- Practice address
- 955 Main St
Suite 308
Winchester, MA 01890-1961 - Phone
- (781) 729-3150
- Fax
- (781) 721-6173
- NPI assigned
- May 9, 2008
- Last updated
- Nov 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marilyn Capek
- Title
- Billing Coordinator
- Phone
- (781) 729-3150
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 45920 | MA | Primary |
Addresses
Primary practice location
955 Main St
Suite 308
Winchester, MA 01890-1961
Mailing address
955 Main St
Suite 308
Winchester, MA 01890-1961
Phone (781) 729-3150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
955 Main St
Ste 308
Winchester, MA 01890
Phone (781) 729-3150
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Winchester, MA
- NPI 1992848469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448323200000",
"number": "1982871893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 MAIN ST",
"address_2": "SUITE 308",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901961",
"telephone_number": "781-729-3150",
"fax_number": "781-721-6173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 MAIN ST",
"address_2": "SUITE 308",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901961",
"telephone_number": "781-729-3150",
"fax_number": "781-721-6173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARILYN R CAPEK MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-09",
"last_updated": "2015-11-24",
"status": "A",
"authorized_official_last_name": "CAPEK",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "781-729-3150"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "45920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.