Organization Active NPI

Salvador Deocampo Jr

  • Pediatric Skilled Nursing Facility
  • New York, NY
National Provider Identifier
1205197563
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
029243 Issued in NY
Legal business name
SALVADOR DEOCAMPO JR
Practice address
4080 Broadway
New York, NY 10032-1542
Phone
(212) 928-0000
NPI assigned
Jun 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Authorized official

Name
Salvador Dariarte Deocampo Jr., PT
Title
Physical Therapist
Phone
(347) 268-1299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 029243 NY Primary

Addresses

Primary practice location

4080 Broadway
New York, NY 10032-1542

Mailing address

8620 56TH Ave
Elmhurst, NY 11373-4830
Phone (347) 268-1299

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1205197563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 56TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734830",
            "telephone_number": "347-268-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321542",
            "telephone_number": "212-928-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVADOR DEOCAMPO JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "DEOCAMPO",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_middle_name": "DARIARTE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-268-1299",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "029243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

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