Provider Demographics
NPI:1285821678
Name:CAPIZZI, PATRICK FRANK (DC)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:FRANK
Last Name:CAPIZZI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 HIGH MOUNTAIN ROAD
Mailing Address - Street 2:
Mailing Address - City:NORTH HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2435
Mailing Address - Country:US
Mailing Address - Phone:973-427-9642
Mailing Address - Fax:
Practice Address - Street 1:374 HIGH MOUNTAIN ROAD
Practice Address - Street 2:
Practice Address - City:NORTH HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-2435
Practice Address - Country:US
Practice Address - Phone:973-427-9642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-28
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00195300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ450456Medicare PIN