Individual provider Active NPI

Josephine Campagnuolo, DO

  • Anesthesiology Physician
  • Old Bridge, NJ
National Provider Identifier
1245200823
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MB06735300 Issued in NJ
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

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000036 NJ Practitioner - Anesthesiology 6002875085 Reassigns benefits to 1 organization

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
Union Anesthesia Associates, PAGroup PAC ID 4082609003, 16 clinicians

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

OrganizationSpecialtyStatusNew patients
Union Anesthesia Associates, PA Anesthesiology CurrentSince Apr 16, 2019 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.

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

Verify at the official NPI Registry.