Reginald Alivia Camillo, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

254436 Issued in NY

Practice address

1739 Williamsbridge Rd
Bronx, NY 10461-6203

Phone

(718) 824-1560

NPI assigned

Jun 1, 2008

Sex

Male

Sole proprietor

No

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.

• Physician Affiliate Group of New York PC

  • Registered Dietitian
  • New York, NY
  • NPI 1013375526

  NY

  Medicare reassignment Care Compare group NPD
• Bronx Ophthalmology PC.

  • Specialist
  • Bronx, NY
  • NPI 1164665469

  NY, Ophthalmology

  Medicare reassignment NPD
• Metropolitan Medical Practice Plan PC

  • General Practice Physician
  • New York, NY
  • NPI 1306138383

  NY

  Medicare reassignment NPD
• Nymhc FPP Nephrology

  • Nephrology Physician
  • New York, NY
  • NPI 1306878657
  NPD (past)

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

• New York City Health and Hospitals Corporation

  • General Acute Care Hospital
  • New York, NY
  • NPI 1013924372

  Hospital

  Care Compare affiliation

Specialty

Ophthalmology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Affiliate Group of New York PC 1,222 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Metropolitan Hospital Center Hospital, New York, NY, CCN 330199

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in NY

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (4 of 8)

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: rcamillo@bronxophthalmology.direct.eyemdemr.com
• Direct secure messaging: rcamillo839618@nychhc.direct-ci.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 16, 2009.

{
    "created_epoch": "1212278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250380800000",
    "number": "1043478415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616203",
            "telephone_number": "718-824-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616203",
            "telephone_number": "718-824-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMILLO",
        "first_name": "REGINALD",
        "middle_name": "ALIVIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-01",
        "last_updated": "2009-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "254436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venise A Cameron, FNP
• Guerly Camille
• Michel-Ange Camille, M.D
• Rose Camille
• Veronique Camille, PHYSICIAN ASSISTANT
• Chelsea Camilo
• Diana Camilo, OTR/L
• Raphael Camilo
• Yolandri Camilo, LMSW, CASAC-T
• Courtney Beth Caminiti, MD

• All providers in Bronx, NY
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.