Provider Demographics
NPI:1063381820
Name:THE CAPABLE CREW, INC.
Entity type:Organization
Organization Name:THE CAPABLE CREW, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD OF TRUSTEES
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:D'AUGOSTINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-800-0565
Mailing Address - Street 1:121 WATER ST APT B105
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-1597
Mailing Address - Country:US
Mailing Address - Phone:973-800-0565
Mailing Address - Fax:
Practice Address - Street 1:121 WATER ST APT B105
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-1597
Practice Address - Country:US
Practice Address - Phone:973-800-0565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-31
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities