NPIMap

Individual provider Active NPI

Joseph V Campbell, MD

  • Specialist
  • Irvington, NJ
National Provider Identifier
1053351569
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
,A59366 Issued in NJ
Practice address
1057 Sanford Ave
Irvington, NJ 07111-1946
Phone
(973) 373-1875
Fax
(973) 373-9005
NPI assigned
Jun 7, 2006
Last updated
Feb 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ,A59366 NJ Primary

Addresses

Primary practice location

1057 Sanford Ave
Irvington, NJ 07111-1946

Mailing address

PO Box 68
South Orange, NJ 07079-0068
Phone (973) 373-1875

Other identifiers 1

IdentifierTypeStateIssuer
7291108MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907000103 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6800828252 Reassigns benefits to 3 organizations
Practice locations: Irvington, NJ

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Rutgers New Jersey Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1057 Sanford Ave
Irvington, NJ 07111-1946
Phone (973) 373-1875

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
,A59366NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eoh Acquisition Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
Pathology Associates, PC Current Accepting new patients
Ijkg Opco LLC Current Accepting new patients
Eoh Acquisition Group, LLC CurrentSince Apr 12, 2022 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Nov 9, 2011 Accepting new patients
Metropolitan Cardiovascular Specialist PastSince Jan 1, 1990 Accepting new patients

Locations

240 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jcampbell260071@epicdirect.rwjbh.org
  • Direct secure messaging: joseph.campbell@direct.bayonnemedicalcenter.md
  • Direct secure messaging: joseph.campbell@mcc-nj.direct.office.nextgen.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1053351569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070790068",
            "telephone_number": "973-373-1875",
            "fax_number": "973-373-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 SANFORD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111946",
            "telephone_number": "973-373-1875",
            "fax_number": "973-373-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JOSEPH",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": ",A59366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7291108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

Verify at the official NPI Registry.