NPI |
1083893382 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
2 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Employer Identification Number EIN |
|
The name prefix or salutation of the provider
if the provider is an individual; for example, Mr., Mrs., or Corporal. |
Provider Organization Name Legal Business Name |
DR. ROBERT CAPUANO, INC. |
The city name in the location address of the provider being identified. |
Provider First Line Business Practice Location Address |
3 GAYMOR ROAD |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
Provider Business Practice Location Address City Name |
HAUPPAUGE |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
NY |
The date that a record was last updated or changed. |
Provider Business Practice Location Address Postal Code |
117883014 |
The code designating the provider’s gender if the provider is a person. |
Provider Business Practice Location Address Country Code If outside U S |
US |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Provider Business Practice Location Address Telephone Number |
6312659440 |
The telephone number associated with the location address of the provider being identified. |
Provider Enumeration Date |
11/2/2007 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date |
3/17/2008 |
The date that a record was last updated or changed. |
Authorized Official Last Name |
CAPUANO |
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. |
Authorized Official First Name |
ANN MARIE |
The first name of the authorized official. |
Authorized Official Title or Position |
CHIROPRACTOR |
The title or position of the authorized official. |
Authorized Official Telephone Number |
6312659440 |
The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code 1 |
111N00000X |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
Is Organization Subpart |
N |
|
Healthcare Provider Taxonomy Group 1 |
193400000X SINGLE SPECIALTY GROUP |
|