Healthcare Provider Details
I. General information
NPI: 1205024841
Provider Name (Legal Business Name): LOUIS ROCCO CAPPA DPM P C
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2007
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
532 BLOOMING GROVE TPKE
NEW WINDSOR NY
12553-7846
US
IV. Provider business mailing address
532 BLOOMING GROVE TPKE
NEW WINDSOR NY
12553-7846
US
V. Phone/Fax
- Phone: 845-562-7285
- Fax: 845-562-5779
- Phone: 845-562-7285
- Fax: 845-562-5779
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | 004541 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LOUIS
ROCCO
CAPPA
Title or Position: OWNER
Credential: DPM
Phone: 845-562-7285