Active NPI
Jodi Kristina Capman
- Counselor
- East Brunswick, NJ
National Provider Identifier
1679238703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 37AC00524500
- Practice address
- 180 Tices LN Ste 202
East Brunswick, NJ 08816-1345 - Phone
- (732) 354-0050
- Fax
- (732) 325-0334
- NPI assigned
- Nov 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37AC00524500 | NJ | Primary |
Addresses
Primary practice location
180 Tices LN Ste 202
East Brunswick, NJ 08816-1345
Mailing address
1 Tracey Dr
Milltown, NJ 08850-1917
Phone (732) 718-7787
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00524500 | NJ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1679238703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 TRACEY DR",
"city": "MILLTOWN",
"state": "NJ",
"postal_code": "088501917",
"telephone_number": "732-718-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 TICES LN STE 202",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088161345",
"telephone_number": "732-354-0050",
"fax_number": "732-325-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPMAN",
"first_name": "JODI",
"middle_name": "KRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-03",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00524500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Brunswick, NJ
- Campbell Chiropractic Center of East Brunswick, LLC
- Campbell Chiropractic Center of New Brunswick, LLC
- Campbell Family Chiropractic Center, LLC
- James W Campbell Jr., D.C.
- Rachel Canonico, LSW
- Anthony J Caravello Jr., D.O.
- Cardio Sleep Dental Solutions LLC
- Cardiology Associates of New Brunswick ,P.a
- Cardiology Associates of New Brunswick, P.a.
- Cardiovascular Interventionalists of Central Jersey, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.