Provider Demographics
NPI:1518044007
Name:CAPLA, JUDITH JAKUS (MD)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:JAKUS
Last Name:CAPLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:530 FIRST AVE SUITE 3A
Mailing Address - Street 2:NYU MEDICAL CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-263-7378
Mailing Address - Fax:212-263-7112
Practice Address - Street 1:530 FIRST AVE SUITE 3A
Practice Address - Street 2:NYU MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-263-7378
Practice Address - Fax:212-263-7112
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY125552208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA39080Medicare UPIN