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Physician Compare National (NPI:1346347945)

HEALTHCARE PROVIDER: DAVID J. CAPONIGRO DDS

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1346347945
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7315021102
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080304000174
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CAPONIGRO
Individual professional last name
Provider First Name DAVID
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1985
Individual professional's medical school graduation year
Primary Specialty ORAL SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 MAXILLOFACIAL SURGERY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties MAXILLOFACIAL SURGERY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name RAMAPO ORAL AND MAXILLOFACIAL SURGERY, PC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 9436234176
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 3
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 84 ROUTE 59
Group Practice or individual's line 1 address
City SUFFERN
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 109014910
Group Practice or individual's zip code (9 digits when available)
Phone Number 8453572070
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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