Brian Campo, LAC DIPL OM NCCAOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

002729 Issued in NY

Practice address

213 15 33Rd Road
Bayside, NY 11361

Phone

(718) 229-4578

Fax

(718) 229-4983

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Neurological Services of Queens, P.C.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Bayside, NY
  • NPI 1821181579
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043378631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 50 WATERS EDGE DRIVE",
            "address_2": "APT 5J",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11360",
            "telephone_number": "718-352-0698",
            "fax_number": "718-229-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 15 33RD ROAD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11361",
            "telephone_number": "718-229-4578",
            "fax_number": "718-229-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPO",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "LAC DIPL OM NCCAOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark James Camaj, M.A CCC/SLP
• Angela Seanon Cameron
• Deanna Julie Campbell, M.A.
• Deborah Ellen Campbell, LCSW DSW
• Julia V Campise, RN
• Daniel Campuzano
• Jacqueline Canales, M.S., SLP, TSSLD-BE
• Marcelina Isabel Cancel
• Kayla Cancinos
• Jenna Marie Capozzi, M.S., CCC-SLP

• Acupuncturist in Bayside, NY
• Providers in Bayside, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.