Active NPI
Ronald M Di Camillo, M.D.
- Allergy Physician
- Staten Island, NY
National Provider Identifier
1649389255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 144569
- Practice address
- 2907 Amboy Rd
Staten Island, NY 10306-2008 - Phone
- (718) 727-7312
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 144569 | NY | Primary |
Addresses
Primary practice location
2907 Amboy Rd
Staten Island, NY 10306-2008
Mailing address
2907 Amboy Rd
Staten Island, NY 10306-2008
Phone (718) 727-7312
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144569 | NY | MD | Allergy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649389255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2907 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062008",
"telephone_number": "718-727-7312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062008",
"telephone_number": "718-727-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DI CAMILLO",
"first_name": "RONALD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "NY",
"license": "144569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
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.