Provider Demographics
NPI:1699488528
Name:DR ZINA B CAPPIELLO DPM LLC
Entity type:Organization
Organization Name:DR ZINA B CAPPIELLO DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPPIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:201-414-7895
Mailing Address - Street 1:5744 BERKSHIRE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07438-9847
Mailing Address - Country:US
Mailing Address - Phone:201-414-7895
Mailing Address - Fax:
Practice Address - Street 1:164 BRIGHTON RD STE 4
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-1400
Practice Address - Country:US
Practice Address - Phone:973-874-0888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty