Dr Jack V Cappitelli, MD - Medicare Internal Medicine in Fair Lawn, NJ

Dr Jack V Cappitelli, MD is a medicare enrolled "Internal Medicine" physician in Fair Lawn, New Jersey. His current practice location is 31-00 Broadway, Fair Lawn, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 796-2255.

Dr Jack V Cappitelli is licensed to practice in New Jersey (license number 25MA06342700) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851448492.

Contact Information

Dr Jack V Cappitelli, MD
31-00 Broadway,
Fair Lawn, NJ 07410-3963
(201) 796-2255
(201) 796-7020



Physician's Profile

Full NameDr Jack V Cappitelli
GenderMale
SpecialityInternal Medicine
Location31-00 Broadway, Fair Lawn, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851448492
  • Provider Enumeration Date: 01/05/2007
  • Last Update Date: 07/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2567448079
  • Enrollment ID: I20100921000065

Medical Identifiers

Medical identifiers for Dr Jack V Cappitelli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851448492NPI-NPPES
7482604MedicaidNJ
P839684OtherNJOXFORD PROVIDER ID
OK8459OtherNJHEALTHNET PROVIDER ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA06342700 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jack V Cappitelli allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack V Cappitelli is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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Internal Medicine Doctors in Fair Lawn, NJ

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
Dr. Raghunandan S Loganathan, MD, FCCP
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 31-00 Broadway, Fair Lawn, NJ 07410
Phone: 973-777-7377    Fax: 973-777-3806
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

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