NPIMap

Individual provider Active NPI

Colin A Campbell, D.O.

  • Internal Medicine Physician
  • West Berlin, NJ
National Provider Identifier
1477518132
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB06735400 Issued in NJ
Practice address
299 S Route 73 Ste a
West Berlin, NJ 08091-3702
Phone
(856) 767-2000
NPI assigned
Apr 18, 2006
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB67354 NJ
Internal Medicine Physician 207R00000X 25MB06735400 NJ Primary

Addresses

Primary practice location

299 S Route 73 Ste a
West Berlin, NJ 08091-3702

Mailing address

P.O. Box 1683
Blackwood, NJ 08012
Phone (856) 767-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccampbell@atma.amazing-direct.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090723000128 NJ Practitioner - Internal Medicine 4587716493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

299 S Route 73 a
1St Care Medical Arts
West Berlin, NJ 08091-3702
Phone (856) 767-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB06735400NJMDInternal Medicine Physician
MB67354NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atco Medical Associates, PC Dba 1St Care Medical Arts Internal Medicine CurrentSince Jun 17, 2009 Accepting new patients

Locations

289 White Horse Pike
Ste 101
Atco, NJ 08004
Phone (856) 767-2000

299 S Route 73
Ste A
West Berlin, NJ 08091
Phone (856) 767-2000

Interoperability endpoints

  • Direct secure messaging: ccampbell@atma.amazing-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1477518132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1683",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-767-2000",
            "fax_number": "856-767-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 S ROUTE 73 STE A",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080913702",
            "telephone_number": "856-767-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "COLIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB67354",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB06735400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccampbell@atma.amazing-direct.com",
            "affiliation": "N",
            "endpointDescription": "Ehr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "299 S Route 73 Ste A",
            "city": "West Berlin",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080913702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Berlin, NJ

Sources for this page

Verify at the official NPI Registry.