Dr Jack V Cappitelli, MD | |
31-00 Broadway, Fair Lawn, NJ 07410-3963 | |
(201) 796-2255 | |
(201) 796-7020 |
Full Name | Dr Jack V Cappitelli |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 31-00 Broadway, Fair Lawn, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851448492 | NPI | - | NPPES |
7482604 | Medicaid | NJ | |
P839684 | Other | NJ | OXFORD PROVIDER ID |
OK8459 | Other | NJ | HEALTHNET PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA06342700 (New Jersey) | Primary |
Entity Name | Summit Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
Mailing Address | Practice Location Address |
---|---|
Dr Jack V Cappitelli, MD 31-00 Broadway, Fair Lawn, NJ 07410-3963 Ph: (201) 796-2255 | Dr Jack V Cappitelli, MD 31-00 Broadway, Fair Lawn, NJ 07410-3963 Ph: (201) 796-2255 |
Dr. Rajesh Veluvolu, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 22-18 Broadway, Fair Lawn, NJ 07410 Phone: 973-868-0549 | |
Dr. Karen Balonze, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 31-00 Broadway, Fair Lawn, NJ 07410 Phone: 201-796-2255 Fax: 201-796-7020 | |
Dr. Ritesh Kalra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15-01 Broadway Ste 8, Fair Lawn, NJ 07410 Phone: 201-796-8060 Fax: 201-796-8070 | |
Rahul Agarwal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 31-00 Broadway, Fair Lawn, NJ 07410 Phone: 201-268-7415 Fax: 551-455-6780 | |
Dr. Lawrence Joseph Berman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20-20 Fair Lawn Ave, Fair Lawn, NJ 07410 Phone: 201-703-0202 Fax: 201-703-1231 | |
Dima Yeshou, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12-04 Saddle River Rd, Fair Lawn, NJ 07410 Phone: 201-773-8710 Fax: 201-773-8711 | |
Dr. Christine Aquino, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 31-00 Broadway, Fair Lawn, NJ 07410 Phone: 201-796-2255 Fax: 201-796-7020 |