Individual provider Active NPI

Joshua Cappell, MD, PHD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Hackensack, NJ
National Provider Identifier
1043224009
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
25MA11054200 Issued in NJ
Practice address
30 Prospect Avenue
Wfan - 3Rd FL Room Pc338
Hackensack, NJ 07601
Phone
(551) 996-3200
Fax
(201) 968-0163
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 215067 NY
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 215067-1 NY
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 25MA11054200 NJ Primary

Addresses

Primary practice location

30 Prospect Avenue
Wfan - 3Rd FL Room Pc338
Hackensack, NJ 07601

Mailing address

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-3200

Other identifiers 2

IdentifierTypeStateIssuer
02621709MedicaidNY
0118826MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050216000904 NY Practitioner - Pediatric MedicinePractitioner - NeurologyPractitioner - Critical Care (Intensivists) 3577515642 Reassigns benefits to 3 organizations
I20210714000892 NJ Practitioner - Pediatric Medicine 3577515642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
New York University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-2042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
215067-1NYMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Mar 17, 2021 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 1, 2015 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Mar 17, 2021 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Apr 1, 2018 Accepting new patients
Harlem Medical Associates PC CurrentSince Oct 21, 2020 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 1, 2015 Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology Past Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

30 Prospect Ave
Bldg 3RD
Hackensack, NJ 07601
Phone (551) 996-2331

30 Prospect Ave
Fl 3
Hackensack, NJ 07601
Phone (551) 996-2331

30 Prospect Ave
Rm 338
Hackensack, NJ 07601
Phone (551) 996-3200

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

650 From Rd
Ste 430A
Paramus, NJ 07652
Phone (201) 639-6644

51 W 51st St
Ste 360
New York, NY 10019
Phone (212) 326-8415

630 W 168th St
New York, NY 10032
Phone (212) 305-1948

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

180 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3535

710 W 168th St
New York, NY 10032
Phone (212) 305-0217

610 W 158th St
Fl 2
New York, NY 10032
Phone (212) 304-6408

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

506 Malcolm X Blvd
#522
New York, NY 10037
Phone (212) 491-1583

2026 Richmond Rd
Staten Island, NY 10306
Phone (212) 305-2300

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jcappell1467275@nychhc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1043224009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011915",
            "telephone_number": "551-996-3200",
            "fax_number": "201-968-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVENUE",
            "address_2": "WFAN - 3RD FL ROOM PC338",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "551-996-3200",
            "fax_number": "201-968-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPELL",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-01-24",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NY",
            "license": "215067",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "215067-1",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA11054200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02621709",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118826",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.