Active NPI
Lawrence D. Campbell, M.D.
- Internal Medicine Physician
- Bay Shore, NY
National Provider Identifier
1073516191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 166249-1
- Practice address
- 32 E Main St
Bay Shore, NY 11706-8301 - Phone
- (631) 969-9600
- Fax
- (631) 968-7624
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 166249-1 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 042.0013988 | VT |
Addresses
Primary practice location
32 E Main St
Bay Shore, NY 11706-8301
Mailing address
32 E Main St
Bay Shore, NY 11706-8301
Phone (631) 969-9600
Other practice location 1
609 Harrington Rd
Brownsville, VT 05037-1115
Phone (631) 365-3848
Other practice location 2
609 Washinton Highway
Morrisville, VT 05661-8629
Phone (802) 888-5639
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4C4541 | Other | NY | PHS / HEALTHNET |
| AA4619S | Other | NY | MDNY |
| CP498 | Other | NY | OXFORD |
| 000AN2 | Other | NY | EMPIRE BCBS |
| 00977793 | Medicaid | NY | |
| 166249P | Other | NY | HEALTHCARE PARTNERS HIP |
| 0000044342306 | Other | NY | UNITED HEALTHCARE |
| 35856 | Other | NY | VYTRA |
| 6077D | Other | NY | MAGNACARE |
| 131673 | Other | NY | ONE HEALTH |
| 433152N | Other | NY | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166249-1 | NY | MD | Internal Medicine Physician |
| 042.0013988 | VT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1073516191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 E MAIN ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068301",
"telephone_number": "631-969-9600",
"fax_number": "631-968-7624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 E MAIN ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068301",
"telephone_number": "631-969-9600",
"fax_number": "631-968-7624"
}
],
"practiceLocations": [
{
"address_1": "609 Harrington Rd",
"address_purpose": "LOCATION",
"city": "Brownsville",
"state": "VT",
"postal_code": "050371115",
"country_code": "US",
"telephone_number": "631-365-3848",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "609 Washinton Highway",
"address_purpose": "LOCATION",
"city": "Morrisville",
"state": "VT",
"postal_code": "056618629",
"country_code": "US",
"telephone_number": "802-888-5639",
"fax_number": "802-888-6040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "LAWRENCE",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "166249-1",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VT",
"license": "042.0013988",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS / HEALTHNET",
"identifier": "4C4541",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "AA4619S",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "CP498",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "000AN2",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00977793",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE PARTNERS HIP",
"identifier": "166249P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0000044342306",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "35856",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "6077D",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH",
"identifier": "131673",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "433152N",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.