Active NPI
Alicia Campiglia, PA
- Nurse Practitioner
- New York, NY
National Provider Identifier
1427509710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 020738
- Practice address
- 114 W 17TH St
New York, NY 10011-5433 - Phone
- (212) 321-7003
- NPI assigned
- Oct 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 020738 | NY | |
| Nurse Practitioner | 363L00000X | 020738 | NY | Primary |
Addresses
Primary practice location
114 W 17TH St
New York, NY 10011-5433
Mailing address
114 W 17TH St
New York, NY 10011-5433
Other practice location 1
750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai School of Medicine | Past | Accepting new patients |
Interoperability endpoints
- acampiglia45236@epicdirect.rwjbh.org
Organizations & group practices 1
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.
-
dba Mount Sinai Manhasset Medical
- Internal Medicine Physician
- Manhasset, NY
- NPI 1144659749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1427509710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 W 17TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 W 17TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115433",
"telephone_number": "212-321-7003"
}
],
"practiceLocations": [
{
"address_1": "750 Brunswick Ave",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "NJ",
"postal_code": "086384143",
"country_code": "US",
"telephone_number": "609-394-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPIGLIA",
"first_name": "ALICIA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-21",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "020738",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "020738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.