Individual provider Active NPI

Lori A Cappello, APN

  • Adult Health Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1164076840
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00938200 Issued in NJ
Practice address
92 2ND St
Hackensack, NJ 07601-2191
Phone
(551) 996-5098
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00938200 NJ Primary

Addresses

Primary practice location

92 2ND St
Hackensack, NJ 07601-2191

Mailing address

109 Skillman Ter
Saddle Brook, NJ 07663-4414
Phone (201) 694-9048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191114001459 NJ Practitioner - Nurse Practitioner 5193157089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Jersey Brain and Spine PCGroup PAC ID 8123013802, 41 clinicians

Practice addresses (Care Compare)

32 Philips Pkwy
Montvale, NJ 07645-1811
Phone (201) 342-2550

650 From Rd
Suite 220
Paramus, NJ 07652-3551
Phone (201) 342-2550

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00938200NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Brain & Spine PC CurrentSince Dec 20, 2023 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Oct 1, 2019 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Oct 1, 2019 Accepting new patients

Locations

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

2 University Plz
Ste 500
Hackensack, NJ 07601
Phone (551) 340-8300

92 2nd St
Hackensack, NJ 07601
Phone (551) 996-2210

32 Philips Pkwy
Montvale, NJ 07645
Phone (201) 494-4479

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1164076840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SKILLMAN TER",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076634414",
            "telephone_number": "201-694-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 2ND ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012191",
            "telephone_number": "551-996-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPELLO",
        "first_name": "LORI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00938200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.