Provider Demographics
NPI:1659338564
Name:CAPONIGRO, JOHN JOSEPH (DPM)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:CAPONIGRO
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3074 31ST ST FL 6
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-2073
Mailing Address - Country:US
Mailing Address - Phone:718-545-3668
Mailing Address - Fax:718-301-6877
Practice Address - Street 1:3074 31ST ST FL 6
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-2073
Practice Address - Country:US
Practice Address - Phone:718-545-3668
Practice Address - Fax:718-301-6877
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD002533213ES0103X
NYN005400213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP0054008WOtherWORKER'S COMP
NJP2173631OtherOXFORD
NY01912789Medicaid
NJ480032319OtherRAILROAD MEDICARE
NYP2104038OtherOXFORD
NJ264417700OtherWORKER'S COMP
NJP2173631OtherOXFORD
NJU72947Medicare UPIN
NJ35759Medicare ID - Type Unspecified