Healthcare Provider Details

I. General information

NPI: 1558317347
Provider Name (Legal Business Name): THOMAS A CAPUTO M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 02/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 EAST 68TH STREET J-130
NEW YORK NY
10065-4870
US

IV. Provider business mailing address

525 E 68TH ST J-130
NEW YORK NY
10065-4870
US

V. Phone/Fax

Practice location:
  • Phone: 212-476-3000
  • Fax: 212-746-8402
Mailing address:
  • Phone: 212-746-3000
  • Fax: 212-746-8402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number121208
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number121208
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: