Organization Active NPI

Magaly Campos-Munoz, M.D., P.a.

  • Psychiatry Physician
  • Elizabeth, NJ
National Provider Identifier
1124381884
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MAO62664 Issued in NJ
Legal business name
MAGALY CAMPOS-MUNOZ, M.D., P.A.
Practice address
824 Elizabeth Ave
Elizabeth, NJ 07201-4708
Phone
(908) 352-0103
NPI assigned
Jun 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Dr. Magaly Campos-Munoz, M.D.
Title
President
Phone
(908) 352-0103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MAO62664 NJ Primary

Addresses

Primary practice location

824 Elizabeth Ave
Elizabeth, NJ 07201-4708

Mailing address

824 Elizabeth Ave
Elizabeth, NJ 07201-4708
Phone (908) 352-0103

Other identifiers 1

IdentifierTypeStateIssuer
0056197MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1124381884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072014708",
            "telephone_number": "908-352-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072014708",
            "telephone_number": "908-352-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGALY CAMPOS-MUNOZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "CAMPOS-MUNOZ",
        "authorized_official_first_name": "MAGALY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-352-0103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MAO62664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056197",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.