Individual provider Active NPI

Nicholas J Campion, DPM

  • Foot Surgery Podiatrist
  • Jamaica, NY
National Provider Identifier
1740215953
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005803-1 Issued in NY
Practice address
17809 Hillside Ave
Jamaica, NY 11432-4624
Phone
(718) 657-4445
Fax
(718) 657-4447
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005803-1 NY Primary

Addresses

Primary practice location

17809 Hillside Ave
Jamaica, NY 11432-4624

Mailing address

17809 Hillside Ave
Jamaica, NY 11432-4624
Phone (718) 657-4445

Other identifiers 2

IdentifierTypeStateIssuer
02598887MedicaidNY
6514320001OtherNYDME PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040602001665 NY Practitioner - Podiatry 2365424470 Practice locations: Flushing, NY; Jamaica, NY
O20101206001305 NY DME Supplier - Physician - Podiatry 6901093731 Practice locations: Jamaica, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Jamaica, NY 11432
Phone (718) 657-4445

178 - 09 Hillside Ave
Jamaica, NY 11432-4624

17809 Hillside Ave
Jamaica, NY 11432-4624

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue158
Removal of skin lesions45
Removal of nail tissue920
Removal or shaving of skin growth855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005803-1NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lenny Ramirez DPM PC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1740215953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17809 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324624",
            "telephone_number": "718-657-4445",
            "fax_number": "718-657-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17809 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324624",
            "telephone_number": "718-657-4445",
            "fax_number": "718-657-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPION",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005803-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02598887",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PTAN",
            "identifier": "6514320001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.