Active NPI
Bonnie Lou Camo, M.D.
- General Practice Physician
- Kendall Park, NJ
National Provider Identifier
1609997899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 25MA03631700
- Practice address
- 35 Emerald Rd
Kendall Park, NJ 08824-1429 - Phone
- (732) 422-1585
- Fax
- (732) 422-8576
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 25MA03631700 | NJ | Primary |
Addresses
Primary practice location
35 Emerald Rd
Kendall Park, NJ 08824-1429
Mailing address
35 Emerald Rd
Kendall Park, NJ 08824-1429
Phone (732) 422-1585
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03631700 | NJ | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609997899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 EMERALD RD",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "088241429",
"telephone_number": "732-422-1585",
"fax_number": "732-422-8576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 EMERALD RD",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "088241429",
"telephone_number": "732-422-1585",
"fax_number": "732-422-8576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMO",
"first_name": "BONNIE",
"middle_name": "LOU",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NJ",
"license": "25MA03631700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kendall Park, NJ
- Ronnie Bochner, M.D.
- Patricia M. Brady, ED.D.
- Brunswick Internal Medicine Group PC
- Brunswick Valley Orthodontics, LLC
- Michelle Caban, M.D.
- Timothy J Caulfield, PT, DPT
- Center for Psychology and Counseling
- Central New Jersey Allergy and Asthma Associates, LLC
- Ellen Sue Chajson, M.D.
- Swagatha Reddy Chavva, DDS
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.