Individual provider Active NPI

Emil John Armand Cappetta

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Madison, NJ
National Provider Identifier
1043572969
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
22D102564900 Issued in NJ
Practice address
210 Main St Ste 2a
Madison, NJ 07940-2285
Phone
(973) 210-7076
Fax
(973) 210-7071
NPI assigned
Jun 15, 2012
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI02564900 NJ
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 22D102564900 NJ Primary

Addresses

Primary practice location

210 Main St Ste 2a
Madison, NJ 07940-2285

Mailing address

210 Main St Ste 2a
Madison, NJ 07940-2285
Phone (973) 210-7076

Other names 1

  • Dr. Emil J Cappetta Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02564900NJMDOral and Maxillofacial Surgery (Dentist)
22D102564900NJMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Oral Surgery, LLC Oral and Maxillofacial Surgery CurrentSince Sep 15, 2024 Accepting new patients
Oral & Maxillofacial Associates of Montclair Oral and Maxillofacial Surgery Past Accepting new patients

Locations

210 Main St
Ste 2A
Madison, NJ 07940
Phone (973) 210-7076

Interoperability endpoints

  • Direct secure messaging: ecappetta188944@ahs.direct-ci.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1043572969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MAIN ST STE 2A",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402285",
            "telephone_number": "973-210-7076",
            "fax_number": "973-210-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MAIN ST STE 2A",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402285",
            "telephone_number": "973-210-7076",
            "fax_number": "973-210-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPETTA",
        "first_name": "EMIL",
        "middle_name": "JOHN ARMAND",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02564900",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NJ",
            "license": "22D102564900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMIL",
            "last_name": "CAPPETTA",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.