Active NPI
Romulo J Camogliano MD PA
- Internal Medicine Physician
- The Villages, FL
National Provider Identifier
1215061023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME68972
- Legal business name
- ROMULO J CAMOGLIANO MD PA
- Practice address
- 1400 N US Highway 441
BLDG.900 Ste.902
The Villages, FL 32159-8975 - Phone
- (352) 259-3435
- Fax
- (352) 259-3438
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Romulo Juan Camogliano, MD
- Title
- President
- Phone
- (352) 259-3435
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME68972 | FL | Primary |
Addresses
Primary practice location
1400 N US Highway 441
BLDG.900 Ste.902
The Villages, FL 32159-8975
Mailing address
1400 N US Highway 441
BLDG.900 Ste.902
The Villages, FL 32159-8975
Phone (352) 259-3435
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27691 | Other | FL | BC/BS |
| 0400644 | Other | FL | BC/BS HEALTH CHOICE |
| 378533500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1093701310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216252800000",
"number": "1215061023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N US HIGHWAY 441",
"address_2": "BLDG.900 STE.902",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321598975",
"telephone_number": "352-259-3435",
"fax_number": "352-259-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N US HIGHWAY 441",
"address_2": "BLDG.900 STE.902",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321598975",
"telephone_number": "352-259-3435",
"fax_number": "352-259-3438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROMULO J CAMOGLIANO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2008-07-17",
"status": "A",
"authorized_official_last_name": "CAMOGLIANO",
"authorized_official_first_name": "ROMULO",
"authorized_official_middle_name": "JUAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-259-3435",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME68972",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "27691",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS HEALTH CHOICE",
"identifier": "0400644",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378533500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.