Individual provider Active NPI

Jamilla A. Campo, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • East Orange, NJ
National Provider Identifier
1235485772
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ14868600 Issued in NJ
Practice address
20 Webster PL FL 2
East Orange, NJ 07018-1706
Phone
(718) 679-2661
Fax
(862) 933-9134
NPI assigned
Aug 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN762451 PA
Registered Nurse 163W00000X 555492-1 NY
General Practice Registered Nurse 163WG0000X 26NR20502500 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ14868600 NJ Primary

Addresses

Primary practice location

20 Webster PL FL 2
East Orange, NJ 07018-1706

Mailing address

20 Webster PL FL 2
East Orange, NJ 07018-1706
Phone (718) 679-2661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230731000250 NJ Practitioner - Nurse Practitioner 7113388737 Reassigns benefits to 2 organizations
I20231026000027 PA Practitioner - Nurse Practitioner 7113388737 Reassigns benefits to 1 organization
I20251013001480 NY Practitioner - Nurse Practitioner 7113388737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatric Nynj PLLCGroup PAC ID 8022540814, 11 clinicians
Nynj Psychiatric Associates LLCGroup PAC ID 2961689989, 38 clinicians

Practice addresses (Care Compare)

136 Madison Ave
FL 6
New York, NY 10016-6795
Phone (917) 582-6622

51 JFK Pkwy
Short Hills, NJ 07078-2704
Phone (917) 582-6622

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
74.82
Improvement activities
40
Cost
71.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
555492-1NYMDRegistered Nurse
RN762451PAMDRegistered Nurse
26NR20502500NJMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Empire State Healthcare Services LLC Psychiatric/Mental Health Current Accepting new patients
Psychiatric Nynj PLLC CurrentSince Aug 8, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 11, 2023 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Jul 18, 2023 Accepting new patients
Nynj Psychiatric Associates LLC CurrentSince Sep 11, 2023 Accepting new patients

Locations

395 Grand St
Jersey City, NJ 07302
Phone (201) 915-2600

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

136 Madison Ave
Fl 6
New York, NY 10016
Phone (917) 582-6622

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1235485772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WEBSTER PL FL 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181706",
            "telephone_number": "718-679-2661",
            "fax_number": "862-933-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WEBSTER PL FL 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181706",
            "telephone_number": "718-679-2661",
            "fax_number": "862-933-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPO",
        "first_name": "JAMILLA",
        "middle_name": "A.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN762451",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "555492-1",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NJ",
            "license": "26NR20502500",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14868600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.