CAIPA Provider Portal Registration
  To create your CAIPA portal account, please fill in your information below.
  After your information is validated, you will receive an email containing
  your login username and temporary password.
  If you have any questions or require
immediate access
to the portal,
  please contact CAIPA Provider Relations:
  Phone: 212-965-9888 | Monday-Friday: 9:00am-6:00pm EST
  Email: PR@caipa.com
 
  Last Name:
  First Name:
  Individual NPI:
  Personal Email Address:
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