Active NPI
Santos A. Camilo, R.PH
- Pharmacist
- Fort Lee, NJ
National Provider Identifier
1457603029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03524400
- Practice address
- 1555 Center Ave Ste 1
Fort Lee, NJ 07024-4612 - Phone
- (201) 949-3400
- NPI assigned
- Oct 8, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03524400 | NJ | Primary |
Addresses
Primary practice location
1555 Center Ave Ste 1
Fort Lee, NJ 07024-4612
Mailing address
1555 Center Ave Ste 1
Fort Lee, NJ 07024-4612
Phone (201) 949-3400
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03524400 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dunn Meadow LLC | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515715200000",
"number": "1457603029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 CENTER AVE STE 1",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070244612",
"telephone_number": "201-949-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 CENTER AVE STE 1",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070244612",
"telephone_number": "201-949-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMILO",
"first_name": "SANTOS",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-08",
"last_updated": "2018-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03524400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.