Individual provider Active NPI

John Federico Di Capua Jr., MD

  • Vascular & Interventional Radiology Physician
  • Galloway, NJ
National Provider Identifier
1376003665
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA12616500 Issued in NJ
Practice address
44 E Jimmie Leeds Rd Ste 101
Galloway, NJ 08205-9599
Phone
(609) 677-9729
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology Physician 2085R0204X 25MA12616500 NJ Primary

Addresses

Primary practice location

44 E Jimmie Leeds Rd Ste 101
Galloway, NJ 08205-9599

Mailing address

8025 Black Horse Pike Ste 300
Pleasantville, NJ 08232-2962
Phone (609) 652-8316

Other practice location 1

55 Fruit St
Boston, MA 02114-2621
Phone (617) 724-9729

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250808000020 NJ Practitioner - Interventional Radiology 3577891969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Icahn School of Medicine at Mount Sinai, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Radiologists Professional Association LLCGroup PAC ID 3678621620, 71 clinicians
Ami Atlanticare LLCGroup PAC ID 7113073263, 62 clinicians
Atlantic Medical ImagingGroup PAC ID 0345215141, 109 clinicians

Practice addresses (Care Compare)

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 572-8355

219 N White Horse Pike
Hammonton, NJ 08037-1896
Phone (609) 878-9729

44 E Jimmie Leeds Rd
Suite 101
Galloway, NJ 08205-9599
Phone (609) 677-9729

Hospital & facility affiliations

  • Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Acuity Specialty Hospital of New Jersey Long-term care hospital, Atlantic City, NJ, CCN 312023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal19
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Medical Imaging CurrentSince Aug 11, 2025 Accepting new patients
Ami Atlanticare LLC CurrentSince Aug 11, 2025 Accepting new patients
Atlantic Radiologists Professional Association LLC CurrentSince Aug 11, 2025 Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

44 E Jimmie Leeds Rd
Ste 101
Galloway, NJ 08205
Phone (609) 652-7349

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

8025 Black Horse Pike
Ste 300
Pleasantville, NJ 08232
Phone (609) 652-8579

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 4

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1376003665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 BLACK HORSE PIKE STE 300",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322962",
            "telephone_number": "609-652-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E JIMMIE LEEDS RD STE 101",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059599",
            "telephone_number": "609-677-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-724-9729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI CAPUA",
        "first_name": "JOHN",
        "middle_name": "FEDERICO",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA12616500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.