Individual
SAMUEL LACAPRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4489
(973) 916-2032
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA60461
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223586664
TRICARE/CHAMPUS
NJ
01
—
2235886664
BCBS
NJ
05
—
6241301
—
NJ
Enumeration date
06/06/2006
Last updated
07/28/2023
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