Individual provider Active NPI

Erica Devonne Camba, NP

  • Family Nurse Practitioner
  • Monsey, NY
National Provider Identifier
1619521580
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344834 Issued in NY
Practice address
40 Robert Pitt Dr
Monsey, NY 10952-3333
Phone
(845) 352-6800
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F344834 NY Primary

Addresses

Primary practice location

40 Robert Pitt Dr
Monsey, NY 10952-3333

Mailing address

40 Robert Pitt Dr
Monsey, NY 10952-3333
Phone (845) 352-6800

Other identifiers 1

IdentifierTypeStateIssuer
05773175MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828002529 NY Practitioner - Nurse Practitioner 7810225844 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F344834NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Divinity Medical Services PLLC CurrentSince Dec 16, 2021 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jul 14, 2019 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Jul 14, 2019 Accepting new patients
Urgent Care Physician of New York-Hartsdale PLLC CurrentSince Nov 7, 2023 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jul 14, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Jul 14, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Jul 14, 2019 Accepting new patients

Locations

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

332 E 149th St
Bronx, NY 10451
Phone (347) 329-4010

2015 Grand Concourse
#13202
Bronx, NY 10453

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

42 Rockland Plz
Ste 22
Nanuet, NY 10954
Phone (845) 367-7395

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Organizations & group practices 7

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": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1619521580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ROBERT PITT DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523333",
            "telephone_number": "845-352-6800",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ROBERT PITT DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523333",
            "telephone_number": "845-352-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBA",
        "first_name": "ERICA",
        "middle_name": "DEVONNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05773175",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.