Provider Demographics
NPI:1700981719
Name:CAPELLA, FRANK MARK (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:MARK
Last Name:CAPELLA
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 1:197 RIDGEDALE AVE
Mailing Address - Street 2:STE 225
Mailing Address - City:CEDAR KNOLLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07927-2111
Mailing Address - Country:US
Mailing Address - Phone:973-984-5119
Mailing Address - Fax:973-984-1455
Practice Address - Street 1:197 RIDGEDALE AVE
Practice Address - Street 2:STE 225
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-2111
Practice Address - Country:US
Practice Address - Phone:973-984-5119
Practice Address - Fax:973-984-1455
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC02931111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
453518Medicare ID - Type Unspecified