Provider Demographics
NPI:1407817786
Name:CAPUTO & KADO PODIATRY ASSOCIATES, LLP
Entity type:Organization
Organization Name:CAPUTO & KADO PODIATRY ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICCARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-219-7005
Mailing Address - Street 1:719 N BEERS ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1522
Mailing Address - Country:US
Mailing Address - Phone:732-739-3230
Mailing Address - Fax:732-739-4656
Practice Address - Street 1:719 N BEERS ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1522
Practice Address - Country:US
Practice Address - Phone:732-739-3230
Practice Address - Fax:732-739-4656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ059798Medicare ID - Type UnspecifiedGROUP NUMBER