Individual
DR. JACK V CAPPITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31-00 BROADWAY, FAIR LAWN, NJ 07410-3963
(201) 796-2255
(201) 796-7020
Mailing address
31-00 BROADWAY, FAIR LAWN, NJ 07410-3963
(201) 796-2255
(201) 796-3711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06342700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7482604
—
NJ
01
—
OK8459
HEALTHNET PROVIDER ID
NJ
01
—
P839684
OXFORD PROVIDER ID
NJ
Enumeration date
01/05/2007
Last updated
07/09/2019
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