Individual provider Active NPI

Jennifer Freida Marron Del Campo, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1093029456
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336424 Issued in NY
Practice address
20 E 46TH St FL 9
New York, NY 10017-9249
Phone
(347) 868-1902
NPI assigned
Jul 28, 2010
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336424 NY Primary
Registered Nurse 163W00000X 562306-1 NY

Addresses

Primary practice location

20 E 46TH St FL 9
New York, NY 10017-9249

Mailing address

6836 108TH St Apt B13
Forest Hills, NY 11375-3352
Phone (646) 338-1471

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200221002302 NY Practitioner - Nurse Practitioner 8123455615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doral Medical and Multi Specialty Facility LLCGroup PAC ID 9830528645, 53 clinicians
Cardiology Solutions, PLLCGroup PAC ID 4284863481, 2 clinicians

Practice addresses (Care Compare)

1797 Pitkin Ave
Suite 2
Brooklyn, NY 11212-7844
Phone (718) 971-1944

20 E 46TH St
New York, NY 10017-9249
Phone (347) 868-1902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
562306-1NYMDRegistered Nurse
F336424NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Solutions, PLLC CurrentSince Dec 29, 2019 Accepting new patients

Locations

20 E 46th St
Fl 9
New York, NY 10017
Phone (212) 404-8090

Networks

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

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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1093029456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6836 108TH ST APT B13",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753352",
            "telephone_number": "646-338-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 46TH ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100179249",
            "telephone_number": "347-868-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CAMPO",
        "first_name": "JENNIFER FREIDA",
        "middle_name": "MARRON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336424",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "562306-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.