DR. JOANNE SUE CAPLIN D.D.S.
NPI 1265583215
Dentist - General Practice in New York, NY

NPI Status: Active since January 16, 2007

Contact Information

36 E 36TH ST
SUITE 1K
NEW YORK, NY
ZIP 10016
Phone: (212) 532-8666
Fax: (212) 532-6680

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  • Individual
  • Female
  • Dentist
  • General Practice
  • PECOS Enrolled

About JOANNE CAPLIN

This page provides the complete NPI Profile along with additional information for Joanne Caplin, a provider established in New York, New York with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1265583215 assigned on January 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 033664 (NY). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1265583215
Provider Name
DR. JOANNE SUE CAPLIN D.D.S.
Gender
Female
Entity Type
Individual
Location Address
36 E 36TH ST SUITE 1K NEW YORK, NY 10016
Location Phone
(212) 532-8666
Location Fax
(212) 532-6680
Mailing Address
36 E 36TH ST SUITE 1K NEW YORK, NY 10016
Mailing Phone
(212) 532-8666
Mailing Fax
(212) 532-6680
Is Sole Proprietor?
No
Enumeration Date
01-16-2007
Last Update Date
07-08-2007
Code Navigator

A dentist like Joanne Caplin is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
033664
License State
NY
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Medicare Participation & PECOS Enrollment Status

Joanne Caplin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 10016 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $102.04
  • Minimum New Patient Price $65.69
  • Maximum New Patient Price $198.19
  • Average New Patient Copayment $25.51
  • Minimum New Patient Copayment $16.42
  • Maximum New Patient Copayment $49.54

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $81.44
  • Minimum Established Patient Price $21.2
  • Maximum Established Patient Price $160.66
  • Average Established Patient Copayment $20.36
  • Minimum Established Patient Copayment $5.3
  • Maximum Established Patient Copayment $40.16

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. JOANNE SUE CAPLIN D.D.S.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265583215
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125108622
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 0 + 8 + 6 + 2 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1265583215 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

MURRAY HILL MENTAL HEALTH ASSOCIATES

Social Worker

(Clinical)

36 E 36TH ST
SUITE 3B
NEW YORK, NY
ZIP 10016

(212) 658-0284

ANDREA N PERSAUD MD PC

Specialist

36 E 36TH ST
PH A SUITE 202
NEW YORK, NY
ZIP 10016

(212) 683-6073

DR. AUGUSTO RODRIGUES DDS

Dentist

(Prosthodontics)

36 E 36TH ST
NEW YORK, NY
ZIP 10016

(212) 213-8575

DR. ELIZABETH A MAHER MD

Ophthalmology

(Ophthalmic Plastic and Reconstructive Surgery)

36 E 36TH ST
NEW YORK, NY
ZIP 10016

(212) 353-0030

ASK YOUR MIDWIFE PC

Midwife

36 E 36TH ST
SUITE 1G
NEW YORK, NY
ZIP 10016

(212) 685-3232

DR. KIRK CHARLES YOUNG M.D.

Obstetrics & Gynecology

36 E 36TH ST
SUITE 202
NEW YORK, NY
ZIP 10016

(212) 532-4575

LISA CHRISTINE CIANCIOTTA MS, RD, CSO, CDN

Dietitian, Registered

36 E 36TH ST
NEW YORK, NY
ZIP 10016

(585) 368-8083

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265583215, enumerated in the NPI registry as an "individual" on January 16, 2007

The provider is located at 36 E 36th St Suite 1k New York, Ny 10016 and the phone number is (212) 532-8666

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

Yes, as of July 06, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $102.04 with an average copayment of $25.51 for new patient appointments. Established patients should expect a typical charge of $81.44 and an average copayment of 20.36. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on January 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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