Healthcare Provider Details

I. General information

NPI: 1164443628
Provider Name (Legal Business Name): SUPERIOR BIOLOGICS NY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 BROADWAY, STE OFF06
HAWTHORNE NY
10532-1245
US

IV. Provider business mailing address

50 BROADWAY, STE OFF06
HAWTHORNE NY
10532-1245
US

V. Phone/Fax

Practice location:
  • Phone: 914-747-1150
  • Fax: 914-747-1170
Mailing address:
  • Phone: 914-747-1150
  • Fax: 914-747-1170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number031360
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROBERT S CAPPA
Title or Position: PRESIDENT, TREASURER, SECRETARY
Credential:
Phone: 484-494-3121