Active NPI
Mariella Camargo, CNM
- Midwife
- Hawthorne, NY
National Provider Identifier
1720099096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 000312
- Practice address
- 4 Skyline Dr
Suite 7
Hawthorne, NY 10532-2147 - Phone
- (914) 467-7343
- Fax
- (914) 418-1042
- NPI assigned
- Aug 11, 2006
- Last updated
- Mar 7, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 000312 | NY | Primary |
Addresses
Primary practice location
4 Skyline Dr
Suite 7
Hawthorne, NY 10532-2147
Mailing address
4 Skyline Dr
Suite 7
Hawthorne, NY 10532-2147
Phone (914) 467-7343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01855687 | Medicaid | NY |
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000312 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Roosevelt Hospital Center | Past | Accepting new patients | |
| Planned Parenthood Hudson Peconic Inc. | Past | Accepting new patients | |
| Planned Parenthood HP | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Maintenance Organization
- West Islip, NY
- NPI 1588729560
-
- Ambulatory Family Planning Facility
- Smithtown, NY
- NPI 1285701672
-
dba OB-GYN Associates of SLR
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1285600106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1720099096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SKYLINE DR",
"address_2": "SUITE 7",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322147",
"telephone_number": "914-467-7343",
"fax_number": "914-418-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SKYLINE DR",
"address_2": "SUITE 7",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322147",
"telephone_number": "914-467-7343",
"fax_number": "914-418-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMARGO",
"first_name": "MARIELLA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "000312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01855687",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.