Individual provider Active NPI

Thomas Campione, APN-C, DC

  • Gerontology Nurse Practitioner
  • Cresskill, NJ
National Provider Identifier
1063583250
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00816800 Issued in NJ
Practice address
135 County Rd
Suite 2a
Cresskill, NJ 07626-2203
Phone
(201) 569-0500
Fax
(201) 569-5561
NPI assigned
Nov 11, 2006
Last updated
May 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00816800 NJ Primary
Neurology Chiropractor 111NN0400X 38MC00524400 NJ

Addresses

Primary practice location

135 County Rd
Suite 2a
Cresskill, NJ 07626-2203

Mailing address

135 County Rd
Suite 2a
Cresskill, NJ 07626-2203
Phone (201) 569-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070625000164 NJ Practitioner - Chiropractic 0446359913 Reassigns benefits to 1 organization
Practice locations: Cresskill, NJ
I20180509002812 NJ Practitioner - Nurse Practitioner 0446359913 Practice locations: Cresskill, NJ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

135 County Rd
Cresskill, NJ 07626-2203
Phone (201) 569-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00524400NJMDNeurology Chiropractor
26NJ00816800NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen Total Health LLC Neurology CurrentSince Sep 1, 2012 Accepting new patients

Locations

135 County Rd
#2A
Cresskill, NJ 07626
Phone (201) 569-0500

135 County Rd
Ste 2A
Cresskill, NJ 07626
Phone (201) 290-5002

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1063583250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COUNTY RD",
            "address_2": "SUITE 2A",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262203",
            "telephone_number": "201-569-0500",
            "fax_number": "201-569-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COUNTY RD",
            "address_2": "SUITE 2A",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262203",
            "telephone_number": "201-569-0500",
            "fax_number": "201-569-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPIONE",
        "first_name": "THOMAS",
        "credential": "APN-C, DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00816800",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NJ",
            "license": "38MC00524400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresskill, NJ

Sources for this page

Verify at the official NPI Registry.