Ingrid X Campos

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

344302 Issued in NY

Practice address

830 Park Ave
Huntington, NY 11743-4543

Phone

(631) 271-5800

NPI assigned

Jun 22, 2022

Last updated

Jun 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suffolk Rehabilitation Medicine, PLLCGroup PAC ID 4082625793, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: icampos@nslijmedicalgroup.gwaydirect.com

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.

• Suffolk Rehabilitation Medicine, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Riverhead, NY
  • NPI 1225084858
  Medicare reassignment Care Compare group NPD
• North Shore Long Island Jewish Healthcare

  dba Northwell Healthcare Inc

  • Cardiovascular Disease Physician
  • Westbury, NY
  • NPI 1215019500
  Medicare reassignment NPD
• Plainview Faculty Medical Affiliates, University Faculty Prac

  • Physician Assistant
  • Plainview, NY
  • NPI 1730925843
  Medicare reassignment
• North Shore Long Island Jewish Health Care Inc

  • Internal Medicine Physician
  • New York, NY
  • NPI 1912338385
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1780315523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WENDORF CT",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034419",
            "telephone_number": "516-859-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434543",
            "telephone_number": "631-271-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "INGRID",
        "middle_name": "X",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "344302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark G Calder, LCSW
• James Kelly Caldwell, LAC
• Felicia T. Callan, M.D.
• Darrel Callender
• Christine Rose Campanello, NP
• Candido Fuentes-Felix MD Facs
• Candido Fuentes-Felix Physican PC
• Jessica Leigh Caporuscio, M.D.
• Victoria Rose Caracci
• Stephanie Caradonna, MSE, PD

• Nurse Practitioner in Huntington, NY
• Providers in Huntington, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.