Mario Capuano (NPI# 1831199694, PAC ID# 6406951565) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1831199694 |
| PAC ID by PECOS | 6406951565 |
| Professional Enrollment ID | I20070418000174 |
| Full Name | Mario Capuano |
| Organization Legal Name | LONG ISLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES LLP |
| Address |
260 Middle Country Rd Bldg 2 Suite 12 Selden NY 11784-2570 |
| Phone Number | 6316969752 |
| Gender | M |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 7911002076 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330246 | ST CHARLES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 260 Middle Country Rd, Bldg 2 Suite 12, Selden, NY 11784-2570 | 6316969752 | LONG ISLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES LLP |
| Organization Legal Name | LONG ISLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES LLP |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua E Gish | Maxillofacial Surgery | Long Island Oral and Maxillofacial Surgery Associates LLP | 260 Middle Country Rd, Bldg 2 Suite 12, Selden, NY 11784-2570 |
| Steven B Schwartz | Maxillofacial Surgery | Long Island Oral and Maxillofacial Surgery Associates LLP | 260 Middle Country Rd, Bldg 2 Suite 12, Selden, NY 11784-2570 |
| David B Park | Maxillofacial Surgery | Long Island Oral and Maxillofacial Surgery Associates LLP | 301 W Main St, Sayville, NY 11782-2523 |
| Susan K Snyder | Oral Surgery | Long Island Oral and Maxillofacial Surgery Associates LLP | 260 Middle Country Rd, Selden, NY 11784-2570 |
| Street Address |
260 MIDDLE COUNTRY RD BLDG 2 SUITE 12 |
| City | SELDEN |
| State | NY |
| Zip | 11784-2570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Masone Jr. | Physical Therapy | Long Island Home Medical Care, P.C. | 260 Middle Country Rd, Suite 7, Selden, NY 11784-2569 |
| Joshua E Gish | Maxillofacial Surgery | Long Island Oral and Maxillofacial Surgery Associates LLP | 260 Middle Country Rd, Bldg 2 Suite 12, Selden, NY 11784-2570 |
| Steven B Schwartz | Maxillofacial Surgery | Long Island Oral and Maxillofacial Surgery Associates LLP | 260 Middle Country Rd, Bldg 2 Suite 12, Selden, NY 11784-2570 |
| Jeffrey M Block | Chiropractic | Abs Chiropractic, P.C. | 260 Middle Country Rd, Selden, NY 11784-2568 |
| Susan K Snyder | Oral Surgery | Long Island Oral and Maxillofacial Surgery Associates LLP | 260 Middle Country Rd, Selden, NY 11784-2570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Frank | Family Medicine | Internal Medicine Associates, PC | 243 Boyle Rd, Selden, NY 11784-1929 |
| David J Beneliyahu | Chiropractic | 636 Middle Country Rd, Selden, NY 11784-2500 | |
| Noha Elfar | Occupational Therapy | 764 Middle Country Rd, Suite 1, Selden, NY 11784-2503 | |
| Jillian M Peragallo | Physician Assistant | Stat Health Immediate Medical Care PC | 996 Middle Country Rd, Selden, NY 11784-2511 |
| Daniele J Kenny | Family Medicine | 1312 Middle Country Rd, Selden, NY 11784-2514 | |
| Brigitte Barnett | Physical Therapy | 1312 Middle Country Rd, Selden, NY 11784-2514 | |
| Geoffrey T O Connell | Clinical Social Worker | 1312 Middle Country Rd, Selden, NY 11784-2514 | |
| Michael Francis Marino | Psychologist, Clinical | 1305 Middle Country Rd, Suite 7, Selden, NY 11784-2554 | |
| Brian D Baraban | Podiatry | 1305 Middle Country Rd, Suite 1, Selden, NY 11784-2554 | |
| Darren T Mollo | Chiropractic | In Motion Chiropractic, P.C. | 1305 Middle Country Rd, Suite 13, Selden, NY 11784-2554 |
| Find all physicians in zip 11784 | |||
| City | SELDEN |
| Zip Code | 11784 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | SELDEN + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Mario Capuano.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.