Carlos Campos MD PA Corp

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

CARLOS CAMPOS MD PA CORP

Practice address

44 Ferry St
Newark, NJ 07105-1466

Phone

(973) 589-0767

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Carlos Campos, MD PA

Title

President

Phone

(973) 589-0767

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1295915304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051466",
            "telephone_number": "973-589-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051466",
            "telephone_number": "973-589-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS CAMPOS MD PA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-589-0767",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caremerica
• Careone Support Coordination
• Carevantage Healthcare LLC
• Justin Bautista Carino, LSW
• Neal Carlin, MD
• Brianna Carlotti
• Christopher Daniel Carlucci
• Peter Carmel, M.D.
• Kayli Carmon, DO
• Claudia E Carnes, PTA

• Preferred Provider Organization in Newark, NJ
• Providers in Newark, NJ by specialty
• Preferred Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.