Active NPI
Mara Campos
- Health Educator
- Kearny, NJ
National Provider Identifier
1255966032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 477 Elm St
Kearny, NJ 07032-3513 - Phone
- (201) 832-6707
- NPI assigned
- Mar 11, 2020
- Last updated
- Aug 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | NU | Primary |
Addresses
Primary practice location
477 Elm St
Kearny, NJ 07032-3513
Mailing address
53 Country Club LN
Marlton, NJ 08053-9713
Phone (201) 832-6707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1255966032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 COUNTRY CLUB LN",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080539713",
"telephone_number": "201-832-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 ELM ST",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070323513",
"telephone_number": "201-832-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS",
"first_name": "MARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearny, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.