MEDICARE: APEX ORAL SURGERY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0451099714	OTHER	NJ	TAX ID NUMBER

General Provider Information

NPI Number	:	1447086608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX ORAL SURGERY, LLC

Provider Business Mailing Address
First Line	:	600 HUDSON ST APT 6E
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-5925
Country	:	US
Telephone Number	:	908-514-5126
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 MAIN ST STE 2A
Second Line	:
City	:	MADISON
State	:	NJ
Zip	:	07940-2285
Country	:	US
Telephone Number	:	973-210-7076
Fax Number	:	973-210-7071

Authorized Official
Title or Position	:	OWNER
Name	:	DR. EMIL JOHN ARMAND CAPPETTA
Credential	:	DDS
Telephone Number	:	908-514-5126

Provider Enumeration Date	:	09/12/2024
Last Update Date	:	09/12/2024

Similar Medicare Providers

1053325944 — JACQUELINE SCHUYLER MPT
Practice Location Address:

210 MAIN ST
MADISON, NJ
07940-2285

Practice Phone: 973-377-6700
Practice Fax: 973-377-8008

1942441910 — MICHELLE SALVA PATELLIS R.D., C.N.S.D.
Practice Location Address:

210 MAIN ST
MADISON, NJ
07940-2285

Practice Phone: 973-377-6700
Practice Fax:

1235271776 — PLEASANT REHAB SERVICES, INC.
Practice Location Address:

30671 DEQUINDRE RD
MADISON HEIGHTS, MI
48071-2285

Practice Phone: 248-577-1340
Practice Fax: 248-577-1344

1144362682 — MR. MOSES P. BENNY P.T.
Practice Location Address:

30671 DEQUINDRE RD
MADISON HEIGHTS, MI
48071-2285

Practice Phone: 248-577-1340
Practice Fax: 248-577-1344

1699901595 — DR. FREDERICK WAYNE STARK DDS
Practice Location Address:

1710 E MADISON AVE STE 600
DERBY, KS
67037-2285

Practice Phone: 316-788-4000
Practice Fax:

1902402928 — AFFORDABLE DENTURES & IMPLANTS - TENNESSEE, PLLC
Practice Location Address:

2285 GALLATIN PIKE N
MADISON, TN
37115-2018

Practice Phone: 615-280-8430
Practice Fax:

Directions to “APEX ORAL SURGERY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.