Maria Campo Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MARIA CAMPO INC

Practice address

5917 69TH PL
2ND Floor
Maspeth, NY 11378-2926

Phone

(917) 435-1789

NPI assigned

Mar 13, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria Celeste Campo

Title

Owner

Phone

(917) 435-1789

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1003209164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 69TH PL",
            "address_2": "2ND FLOOR",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782926",
            "telephone_number": "917-435-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 69TH PL",
            "address_2": "2ND FLOOR",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782926",
            "telephone_number": "917-435-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA CAMPO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "CAMPO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CELESTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-435-1789"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Maspeth, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.