Individual provider Active NPI

Jodi-Ann Cappello, D.C.

  • Chiropractor
  • Verona, NJ
National Provider Identifier
1700090339
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00642100 Issued in NJ
Practice address
15 Bloomfield Ave
Verona, NJ 07044-2700
Phone
(973) 306-0043
Fax
(973) 239-0921
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X XO11062- 5345110 NY
Chiropractor 111N00000X 38MC00642100 NJ Primary

Addresses

Primary practice location

15 Bloomfield Ave
Verona, NJ 07044-2700

Mailing address

89 Sunset Ave
Verona, NJ 07044-2610
Phone (201) 344-1660

Other identifiers 2

IdentifierTypeStateIssuer
38MC00642100OtherNJNJ STATE BOARD OF CHIROPRACTIC EXAMINERS
X0110062-1OtherNYNY STATE BOARD OF CHIROPRACTIC EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000851 NJ Practitioner - Chiropractic 5193748804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Bloomfield Ave
Suite 2
Verona, NJ 07044-2700
Phone (973) 306-0043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011062NYMDCognitive & Behavioral Psychologist
XO11062- 5345110NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cappello Chiropractic LLC Chiropractor CurrentSince Dec 18, 2023 Accepting new patients
Naumov Chiropractic LLC Chiropractor Past Accepting new patients

Locations

15 Bloomfield Ave
Ste 2
Verona, NJ 07044
Phone (973) 306-0043

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1700090339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 SUNSET AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442610",
            "telephone_number": "201-344-1660",
            "fax_number": "973-239-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442700",
            "telephone_number": "973-306-0043",
            "fax_number": "973-239-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPELLO",
        "first_name": "JODI-ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "XO11062- 5345110",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00642100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "38MC00642100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "X0110062-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.