Individual provider Active NPI

Wayne J Caputo, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Belleville, NJ
National Provider Identifier
1790747681
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00143100 Issued in NJ
Practice address
5 Franklin Ave
Suite 103
Belleville, NJ 07109-3532
Phone
(973) 751-7752
Fax
(973) 450-4577
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00143100 NJ Primary

Addresses

Primary practice location

5 Franklin Ave
Suite 103
Belleville, NJ 07109-3532

Mailing address

18 Phyllis LN
Fairfield, NJ 07004-2319

Other identifiers 1

IdentifierTypeStateIssuer
1708201MedicaidNJ

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

Practice roles

OrganizationSpecialtyStatusNew patients
International Id Associates LLC PastSince May 29, 2018 Accepting new patients
Wayne J Caputo DPM Foot & Ankle Surgery PastSince Jan 1, 1989 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wcaputo@direct.rwjbh.org

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1790747681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PHYLLIS LN",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE",
            "address_2": "SUITE 103",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093532",
            "telephone_number": "973-751-7752",
            "fax_number": "973-450-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTO",
        "first_name": "WAYNE",
        "middle_name": "J",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00143100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1708201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.