Active NPI
Magaly Campos-Munoz, M.D.
- Psychiatry Physician
- Elizabeth, NJ
National Provider Identifier
1720113095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA06266400
- Practice address
- 824 Elizabeth Ave
Elizabeth, NJ 07201-2709 - Phone
- (908) 352-0103
- Fax
- (908) 352-9134
- NPI assigned
- Feb 23, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MA06266400 | NJ | Primary |
Addresses
Primary practice location
824 Elizabeth Ave
Elizabeth, NJ 07201-2709
Mailing address
824 Elizabeth Ave
Elizabeth, NJ 07201-2709
Phone (908) 352-0103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0056197 | Medicaid | NJ |
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 |
|---|---|---|---|
| MA06266400 | NJ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1720113095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 ELIZABETH AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012709",
"telephone_number": "908-352-0103",
"fax_number": "908-352-9134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 ELIZABETH AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012709",
"telephone_number": "908-352-0103",
"fax_number": "908-352-9134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS-MUNOZ",
"first_name": "MAGALY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MA06266400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0056197",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.