PARK AVENUE PRIMARY MEDICAL
NPI 1609087451
Internal Medicine in South Plainfield, NJ

Active since May 24, 2007
1907 PARK AVE, SUITE 203, SOUTH PLAINFIELD, NJ 07080(908) 561-3934(908) 561-6881 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park Avenue Primary Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK AVENUE PRIMARY MEDICAL (NPI 1609087451) is a healthcare organization registered as an internal medicine in South Plainfield, New Jersey and active in the NPI registry since May 2007. The organization lists Domiciano V Capitly, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1609087451
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDOMICIANO V. CAPITLY, M.D.
Location Address1907 PARK AVE, SUITE 203South Plainfield, NJ 07080-5530
Mailing Address1907 Park Ave, Suite 203South Plainfield, NJ 07080-5530 · (908) 561-3934 · Fax (908) 561-6881
Fax(908) 561-6881
Organization SubpartNo
Authorized OfficialDomiciano V CapitlyMedical Doctor · (908) 561-3934
Enumeration DateMay 24, 2007
Last NPPES UpdateOctober 11, 2013
NPI 1609087451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1907 PARK AVE, South Plainfield, NJ 07080

Other Names 1

Other NamePark Avenue Primary Medical

Other Identifiers 3

Medicaid0722804NJ
Medicare UPINC54771NJ
Medicare ID-Type Unspecified445861NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1907 PARK AVE, STE 103
SOUTH PLAINFIELD, NJ 07080
Surgery
1907 PARK AVE, STE 203
SOUTH PLAINFIELD, NJ 07080
Internal Medicine (Pulmonary Disease)
1907 PARK AVE, SUITE 202
SOUTH PLAINFIELD, NJ 07080
Internal Medicine (Pulmonary Disease)
1907 PARK AVE, SUITE 202
SOUTH PLAINFIELD, NJ 07080
Orthopaedic Surgery
1907 PARK AVE, STE 102
SOUTH PLAINFIELD, NJ 07080
Orthopaedic Surgery
1907 PARK AVE, 102
SOUTH PLAINFIELD, NJ 07080
Anesthesiology (Pain Medicine)
1907 PARK AVE
SOUTH PLAINFIELD, NJ 07080
Pediatrics
1907 PARK AVE, SUITE 204
SOUTH PLAINFIELD, NJ 07080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Domiciano V. Capitly, M.D.'s NPI number?

The NPI number for Domiciano V. Capitly, M.D. is 1609087451. It was assigned to this organization in the NPPES registry on May 24, 2007. The provider is also known as Park Avenue Primary Medical.

Where is Domiciano V. Capitly, M.D. located?

Domiciano V. Capitly, M.D. is located at 1907 Park Ave Suite 203, South Plainfield, NJ 07080. The listed phone number is (908) 561-3934.

What is Domiciano V. Capitly, M.D.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Domiciano V. Capitly, M.D. was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.