Active NPI
Gabrielle T Capozzoli, MD
- Pediatrics Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA11910500
- Practice address
- 125 Paterson St # 308
New Brunswick, NJ 08901-1962 - Phone
- (610) 500-1290
- NPI assigned
- Mar 21, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 25MA11910500 | NJ | Primary |
Addresses
Primary practice location
125 Paterson St # 308
New Brunswick, NJ 08901-1962
Mailing address
2021 Chestnut St Apt 603
Philadelphia, PA 19103-3378
Phone (610) 500-1290
Other practice location 1
4110 Kennedy Blvd
Union City, NJ 07087-2610
Phone (201) 319-9800
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11910500 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare , LLC | Current | Accepting new patients | |
| Advocare, LLC | Pediatrics | Current | Accepting new patients |
| Advocare, LLC | Pediatrics | Past | Accepting new patients |
Locations
169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777
Interoperability endpoints
- gabrielle.capozzoli@advocaredoctors.eclinicaldirectplus.com
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.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
- Pediatrics Physician
- Cherry Hill, NJ
- NPI 1780696732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1740740299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 CHESTNUT ST APT 603",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191033378",
"telephone_number": "610-500-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PATERSON ST # 308",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011962",
"telephone_number": "610-500-1290"
}
],
"practiceLocations": [
{
"address_1": "4110 Kennedy Blvd",
"address_purpose": "LOCATION",
"city": "Union City",
"state": "NJ",
"postal_code": "070872610",
"country_code": "US",
"telephone_number": "201-319-9800",
"fax_number": "201-319-9848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPOZZOLI",
"first_name": "GABRIELLE",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-21",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA11910500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.