Andrea Regina Carcamo, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MB09615600 Issued in NJ

Practice address

905 Herrontown Rd
Princeton, NJ 08540-1901

Phone

(609) 497-3300

NPI assigned

Apr 11, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  dba Penn Medicine Princeton House Behavioral Health

  • Psychiatric Hospital Unit
  • Princeton, NJ
  • NPI 1518009588
  NPD (past)

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467590400000",
    "number": "1083904098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HERRONTOWN RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401901",
            "telephone_number": "609-497-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HERRONTOWN RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401901",
            "telephone_number": "609-497-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCAMO",
        "first_name": "ANDREA",
        "middle_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2016-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS 017559",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB09615600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Cangelosi, PSY.D.
• Nita Lavet Cannon
• Jacquelyn Cantor, RN,CSW
• Jeanne Dawn Cantrell, PH.D.
• Lisa Canzano, LCSW
• Cardiology Associates of Princeton
• Careone Pain Management LLC
• Caring Hands Senior Services LLC
• Caring Medicine PC
• Richard Carlson Jr.

• Psychiatry Physician in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2016; 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.