Individual provider Active NPI

Christine Rose Campanello, NP

  • Acute Care Nurse Practitioner
  • Huntington, NY
National Provider Identifier
1386296192
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F431525-01 Issued in NY
Practice address
270 Park Avenue
Huntington, NY 11743
Phone
(631) 351-2000
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X F431525-01 NY Primary

Addresses

Primary practice location

270 Park Avenue
Huntington, NY 11743

Mailing address

76 Anndom CT
North Babylon, NY 11703
Phone (631) 942-3980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200514002539 NY Practitioner - Nurse Practitioner 8426489006 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rajeswara Rao Patcha, MD,PCGroup PAC ID 9638068323, 8 clinicians

Practice addresses (Care Compare)

270 Park Ave
Huntington, NY 11743-2787
Phone (631) 351-2000

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • NS/Lij HS Huntington Hospital Hospital, Huntington, NY, CCN 330045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F431525-01NYMDAcute Care Nurse Practitioner

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Mar 1, 2020 Accepting new patients
Raman Kumar MD PLLC CurrentSince Apr 1, 2022 Accepting new patients
Rajeswara Rao Patcha, MD,PC CurrentSince Mar 6, 2023 Accepting new patients
Rowan Health Corporation PastSince Nov 22, 2020 Accepting new patients
Balveen Singh MD PLLC Past Accepting new patients

Locations

333 Broadway
Ste 1
Amityville, NY 11701
Phone (631) 608-1542

373 W Main St
Babylon, NY 11702
Phone (516) 822-6655

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

31 Centershore Rd
Centerport, NY 11721
Phone (631) 425-1292

16 Van Cott Rd
Ste 2E
Deer Park, NY 11729
Phone (631) 274-0777

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

172 E Main St
Huntington, NY 11743
Phone (631) 278-3622

325 Main St
Northport, NY 11768
Phone (631) 261-4445

300 Community Dr
Plandome, NY 11030

8533 Jericho Tpke
Woodbury, NY 11797
Phone (516) 692-4100

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 6

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 2

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": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1386296192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 ANNDOM CT",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "11703",
            "telephone_number": "631-942-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PARK AVENUE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-351-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANELLO",
        "first_name": "CHRISTINE",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F431525-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.