Active NPI
Thomas John Campo, D.O., J.D.
- Psychosomatic Medicine Physician
- Cherry Hill, NJ
National Provider Identifier
1508075847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- License
- 25MB07967200
- Practice address
- 2250 Chapel Ave W
Suite 100
Cherry Hill, NJ 08002-2051 - Phone
- (856) 482-9000
- Fax
- (856) 482-1159
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Millville, NJ
- NPI 1447337134
NJ
-
- Psychiatric Hospital
- Blackwood, NJ
- NPI 1487070793
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Rowan University School of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Family Guidance PC
Practice addresses (Care Compare)
333 Irving Ave
Bridgeton, NJ 08302-2123
Phone (609) 451-6600
425 Woodbury Turnersville Rd
Blackwood, NJ 08012-2960
Phone (856) 374-6600
Hospital & facility affiliations
- Jefferson Stratford Hospital
- Capital Health Regional Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070828000762 | NJ | Practitioner - Psychiatry | 0648362178 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB07967200 | NJ | MD | Psychosomatic Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Guidance, PC | Current | Accepting new patients | |
| Cumberland County Guidance Center | Current | Accepting new patients | |
| Elmwood Hills Healthcare Center LLC | Past | Accepting new patients |
Locations
333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500
765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721
2038 Carmel Rd
Millville, NJ 08332
Phone (856) 825-6810
Interoperability endpoints
- thomas.campodo.p1@direct.cfg.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | 25MB07967200 | NJ | Primary |
Addresses
Primary practice location
2250 Chapel Ave W
Suite 100
Cherry Hill, NJ 08002-2051
Mailing address
118 S Childs St
Woodbury, NJ 08096-2137
Phone (856) 251-9401
NPI Registry JSON
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508075847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 S CHILDS ST",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962137",
"telephone_number": "856-251-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 CHAPEL AVE W",
"address_2": "SUITE 100",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022051",
"telephone_number": "856-482-9000",
"fax_number": "856-482-1159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPO",
"first_name": "THOMAS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.O., J.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "NJ",
"license": "25MB07967200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.