Individual provider Active NPI

John Anthony Capriglione, DC

  • Chiropractor
  • Roseland, NJ
National Provider Identifier
1720141336
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00505900 Issued in NJ
Practice address
204 Eagle Rock Avenue
Roseland, NJ 07068
Phone
(973) 228-1488
Fax
(973) 228-4988
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00505900 NJ Primary

Addresses

Primary practice location

204 Eagle Rock Avenue
Roseland, NJ 07068

Mailing address

204 Eagle Rock Ave
Roseland, NJ 07068-1723
Phone (973) 228-1488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831000154 NJ Practitioner - Chiropractic 1052386323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roseland Spinal Rehabilitation Center PCGroup PAC ID 0749254597, 2 clinicians

Practice addresses (Care Compare)

204 Eagle Rock Ave
Roseland, NJ 07068-1723
Phone (973) 228-1488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00505900NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Roseland Spinal Rehabilitation Center PC Chiropractor CurrentSince May 24, 2004 Accepting new patients

Locations

204 Eagle Rock Ave
Roseland, NJ 07068
Phone (973) 226-1505

204 Eagle Rock Ave
Lowr
Roseland, NJ 07068

Organizations & group practices 1

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1720141336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 EAGLE ROCK AVE",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681723",
            "telephone_number": "973-228-1488",
            "fax_number": "973-228-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 EAGLE ROCK AVENUE",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "07068",
            "telephone_number": "973-228-1488",
            "fax_number": "973-228-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRIGLIONE",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00505900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.