Individual provider Active NPI

Justin Capote, MD

  • Psychosomatic Medicine Physician
  • Montclair, NJ
National Provider Identifier
1629380043
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
25MA09387600 Issued in NJ
Practice address
105 Grove St Ste 14-2
Montclair, NJ 07042-4051
Phone
(973) 671-8535
NPI assigned
Jul 14, 2010
Last updated
Jan 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 62370 MN
Psychiatry Physician 2084P0800X 62370 MN
Psychosomatic Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0015X 25MA09387600 NJ Primary

Addresses

Primary practice location

105 Grove St Ste 14-2
Montclair, NJ 07042-4051

Mailing address

105 Grove St Ste 14-2
Montclair, NJ 07042-4051
Phone (973) 671-8535

Other practice location 1

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 656-6280

Other practice location 2

2220 Riverside Ave
Minneapolis, MN 55454-1321
Phone (612) 341-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgc@justincapotemd.com Direct

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)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: jgc@justincapotemd.com

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1629380043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GROVE ST STE 14-2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424051",
            "telephone_number": "973-671-8535",
            "fax_number": "973-695-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GROVE ST STE 14-2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424051",
            "telephone_number": "973-671-8535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "973-656-6280",
            "fax_number": "973-290-7495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554541321",
            "country_code": "US",
            "telephone_number": "612-341-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPOTE",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "MN",
            "license": "62370",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "62370",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NJ",
            "license": "25MA09387600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgc@justincapotemd.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "105 Grove St Ste 14-2",
            "city": "Montclair",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070424051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.