Individual provider Active NPI

Maria A Campoalegre, M.D.

  • Internal Medicine Physician
  • Union City, NJ
National Provider Identifier
1366609174
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA08668100 Issued in NJ
Practice address
407 39TH St
Suite 301
Union City, NJ 07087-4817
Phone
(201) 624-1877
Fax
(201) 624-1879
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA08668100 NJ Primary

Addresses

Primary practice location

407 39TH St
Suite 301
Union City, NJ 07087-4817

Mailing address

550 Newark Ave
Suite 307
Jersey City, NJ 07306-1326
Phone (201) 418-9111

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
I20100428000430 NJ Practitioner - Internal Medicine 8729115431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

407 39TH St
Suite 403
Union City, NJ 07087-5367
Phone (201) 330-8080

Hospital & facility affiliations

  • Promise Care NJ Home health agency, West New York, NJ, CCN 317064
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Optima Care Castle Hill Nursing home, Union City, NJ, CCN 315344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA08668100NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Maria a Campoalegre MD.PA Internal Medicine CurrentSince May 4, 2013 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Cardio-Med Services LLC Internal Medicine Past Accepting new patients

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1366609174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE",
            "address_2": "SUITE 307",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061326",
            "telephone_number": "201-418-9111",
            "fax_number": "201-418-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 39TH ST",
            "address_2": "SUITE 301",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874817",
            "telephone_number": "201-624-1877",
            "fax_number": "201-624-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOALEGRE",
        "first_name": "MARIA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA08668100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.