Individual provider Active NPI

Giovanni Campanile, MD

  • Cardiovascular Disease Physician
  • Caldwell, NJ
National Provider Identifier
1013969377
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA05153500 Issued in NJ
Practice address
14 Smull Ave
Caldwell, NJ 07006-5012
Phone
(862) 260-3188
Fax
(973) 401-2489
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 218557 NY
Cardiovascular Disease Physician 207RC0000X 25MA05153500 NJ Primary
Cardiovascular Disease Physician 207RC0000X ME63052 FL

Addresses

Primary practice location

14 Smull Ave
Caldwell, NJ 07006-5012

Mailing address

PO Box 416457
Boston, MA 02241-6457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100128000798 FL Practitioner - Cardiovascular Disease (Cardiology) 6507876711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Key West Hma Physician Management LLCGroup PAC ID 0749178408, 33 clinicians

Practice addresses (Care Compare)

1111 12TH St
Key West, FL 33040-4084

3428 N Roosevelt Blvd
Key West, FL 33040-4224
Phone (305) 294-1706

Hospital & facility affiliations

  • Lower Keys Medical Center Hospital, Key West, FL, CCN 100150
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05153500NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montclair Cardiology Group Cardiovascular Disease Current Accepting new patients
Key West Hma Physician Management, LLC Cardiovascular Disease CurrentSince Feb 20, 2024 Accepting new patients
Key West Hma Physician Management LLC CurrentSince Feb 20, 2024 Accepting new patients
Lenox Hill Interventional Cardiac & Vascular Services PC Interventional Cardiology Past Accepting new patients
Boca Raton Ekg Readers Cardiovascular Disease Past Accepting new patients
Cardiovascular Diagnostic Associates Cardiovascular Disease Past Accepting new patients
David C Mishkel Mdpa Cardiovascular Disease Past Accepting new patients

Locations

1111 12th St
Ste 210
Key West, FL 33040
Phone (305) 295-3535

1111 12th St
Ste 104
Key West, FL 33040
Phone (305) 293-1830

123 Highland Ave
Ste 302
Glen Ridge, NJ 07028
Phone (973) 748-9555

249 Franklin Ave
Nutley, NJ 07110
Phone (973) 542-0383

Interoperability endpoints

  • Direct secure messaging: giovanni.campanile.1@31672.direct.athenahealth.com
  • Direct secure messaging: giovanni.campanile.1@4692.direct.athenahealth.com
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/31dcedc4-1f21-42f7-a549-c7c3e6431523

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1013969377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SMULL AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065012",
            "telephone_number": "862-260-3188",
            "fax_number": "973-401-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANILE",
        "first_name": "GIOVANNI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "218557",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05153500",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME63052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.