Provider Demographics
NPI:1821199951
Name:CAPO, MARIA PILAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:PILAR
Last Name:CAPO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 79TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-4965
Mailing Address - Country:US
Mailing Address - Phone:201-861-7900
Mailing Address - Fax:
Practice Address - Street 1:700 79TH ST
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-4965
Practice Address - Country:US
Practice Address - Phone:201-861-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06605300207RP1001X
NJMA66053174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF65307Medicare UPIN
002555Medicare ID - Type Unspecified