Healthcare Provider Details

I. General information

NPI: 1043572969
Provider Name (Legal Business Name): DR. EMIL JOHN ARMAND CAPPETTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: EMIL J CAPPETTA DDS

II. Dates (important events)

Enumeration Date: 06/15/2012
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 MAIN ST STE 2A
MADISON NJ
07940-2285
US

IV. Provider business mailing address

210 MAIN ST STE 2A
MADISON NJ
07940-2285
US

V. Phone/Fax

Practice location:
  • Phone: 973-210-7076
  • Fax: 973-210-7071
Mailing address:
  • Phone: 973-210-7076
  • Fax: 973-210-7071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number22DI02564900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number22D102564900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: