Roger Louis Cambor, M.D.

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

40428 Issued in CO

Practice address

2001 Providence Ave
Chester, PA 19013-5504

Phone

(610) 876-9000

Fax

(484) 490-0116

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastern Pennsylvania Physician Alliance LLC

  • Neurology Physician
  • Clarion, PA
  • NPI 1902440621
  NPD (past)
• Uhs Recovery Foundation Inc

  • Community/Behavioral Health Agency
  • Chester, PA
  • NPI 1841263407
  NPD (past)
• Boulder Community Health

  • Medical Specialty Clinic/Center
  • Boulder, CO
  • NPI 1407685498
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013125582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 STEPNEY PL",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721610",
            "telephone_number": "720-470-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135504",
            "telephone_number": "610-876-9000",
            "fax_number": "484-490-0116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Canyon Blvd.",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803024979",
            "country_code": "US",
            "telephone_number": "303-443-7050",
            "fax_number": "303-449-8973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Stepney Pl",
            "address_purpose": "LOCATION",
            "city": "Narberth",
            "state": "PA",
            "postal_code": "190721610",
            "country_code": "US",
            "telephone_number": "720-470-3802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMBOR",
        "first_name": "ROGER",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "40248",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CO",
            "license": "40428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Burns, PH.D.
• Keyona Butcher
• Paul A Butler
• Christina Callahan
• Chanee Calvin
• Isaiah Campbell, BA
• Jean Campbell, LSW
• Shanier N Campbell
• Campus Dental Center, Inc.
• Stephanie Cant

• Addiction Psychiatry Physician in Chester, PA
• Providers in Chester, PA by specialty
• Addiction Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.