Active NPI
Josephine Campagnuolo, DO
- Anesthesiology Physician
- Old Bridge, NJ
National Provider Identifier
1245200823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MB06735300
- Practice address
- 40 RT 34
Suite E
Old Bridge, NJ 08875 - Phone
- (732) 431-9544
- Fax
- (732) 431-9313
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MB06735300 | NJ | Primary |
Addresses
Primary practice location
40 RT 34
Suite E
Old Bridge, NJ 08875
Mailing address
91 Hunt Rd
Freehold, NJ 07748
Phone (732) 236-9928
Other names 1
- Dr. Joann Larsen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
695 Chestnut St
Union, NJ 07083-7200
Phone (908) 851-6171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Anesthesia Associates, PA | Anesthesiology | Current | Accepting new patients |
| Specialty Anesthesia Associates, LLC | Anesthesiology | Past | Accepting new patients |
| New Jersey Center for Pain Management,LLC | Past | Accepting new patients |
Locations
1931 Oak Tree Rd
Edison, NJ 08820
Phone (732) 482-9600
695 Chestnut St
Union, NJ 07083
Phone (908) 688-6565
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Union, NJ
- NPI 1730293598
-
- Pain Medicine (Anesthesiology) Physician
- Freehold, NJ
- NPI 1457330862
-
- Anesthesiology Physician
- Shrewsbury, NJ
- NPI 1932290111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1245200823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 HUNT RD",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "07748",
"telephone_number": "732-236-9928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 RT 34",
"address_2": "SUITE E",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "08875",
"telephone_number": "732-431-9544",
"fax_number": "732-431-9313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPAGNUOLO",
"first_name": "JOSEPHINE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MB06735300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANN",
"last_name": "LARSEN",
"prefix": "DR.",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.