Organization Active NPI

Campbell Med LTC LLC

  • Internal Medicine Physician
  • West Haven, CT
National Provider Identifier
1679400170
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAMPBELL MED LTC LLC
Practice address
755 Campbell Ave Ste 1
West Haven, CT 06516-3789
Phone
(203) 937-1100
Fax
(203) 937-1102
NPI assigned
May 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Roxann Ames
Title
Practice Manager
Phone
(203) 937-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

755 Campbell Ave Ste 1
West Haven, CT 06516-3789

Mailing address

755 Campbell Ave Ste 1
West Haven, CT 06516-3789
Phone (203) 937-1100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1679400170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 CAMPBELL AVE STE 1",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163789",
            "telephone_number": "203-937-1100",
            "fax_number": "203-937-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 CAMPBELL AVE STE 1",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163789",
            "telephone_number": "203-937-1100",
            "fax_number": "203-937-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL MED LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "AMES",
        "authorized_official_first_name": "ROXANN",
        "authorized_official_title_or_position": "PRACTICE  MANAGER",
        "authorized_official_telephone_number": "203-937-1100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.