A Phillip Campbell L L C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

25MP00045100 Issued in NJ

Legal business name

A PHILLIP CAMPBELL L L C

Practice address

1 Riverview PLZ
Red Bank, NJ 07701-1864

Phone

(732) 741-2700

NPI assigned

Aug 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. A Phillip Campbell, PA

Title

Owner

Phone

(407) 328-0825

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alfred P Campbell, PA

  • Surgical Physician Assistant
  • Red Bank, NJ
  • NPI 1881671873
  NPD (past)

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

{
    "created_epoch": "1187481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187481600000",
    "number": "1467645929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 953908",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327953908",
            "telephone_number": "407-328-0825",
            "fax_number": "407-322-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERVIEW PLZ",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011864",
            "telephone_number": "732-741-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PHILLIP CAMPBELL L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-19",
        "last_updated": "2007-08-19",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-328-0825",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00045100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.