Provider Demographics
NPI:1366562126
Name:CAPRIO, ANGELO ANTHONY (M D, MMM)
Entity type:Individual
Prefix:
First Name:ANGELO
Middle Name:ANTHONY
Last Name:CAPRIO
Suffix:
Gender:M
Credentials:M D, MMM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 UNION AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-1272
Mailing Address - Country:US
Mailing Address - Phone:551-285-4250
Mailing Address - Fax:
Practice Address - Street 1:71 UNION AVE STE 210
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-1272
Practice Address - Country:US
Practice Address - Phone:551-285-4250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03969100208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJCA155415Medicare ID - Type Unspecified
NJD07082Medicare UPIN