Individual provider Active NPI

Camilo Francisco Serrano, MD

  • Psychiatry Physician
  • Carneys Point, NJ
National Provider Identifier
1780744250
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MAO70232 Issued in NJ
Practice address
500 S Pennsville Auburn Rd
Carneys Point, NJ 08069-2936
Phone
(856) 299-3200
Fax
(856) 299-7183
NPI assigned
Dec 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MAO70232 NJ Primary

Addresses

Primary practice location

500 S Pennsville Auburn Rd
Carneys Point, NJ 08069-2936

Mailing address

441 Clark CT
Franklinville, NJ 08322-2142
Phone (856) 299-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111121000364 NJ Practitioner - Psychiatry 3577737923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Healthcare Commons Inc.Group PAC ID 0547344434, 6 clinicians

Practice addresses (Care Compare)

500 S Pennsville Auburn Rd
Carneys Point, NJ 08069-2936
Phone 8562993200418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MAO70232NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Commons, Inc. CurrentSince Jan 21, 2000 Accepting new patients
Healthcare Commons, Inc. CurrentSince Jan 21, 2000 Accepting new patients

Locations

500 S Pennsville Auburn Rd
Penns Grove, NJ 08069
Phone (856) 299-3200

Interoperability endpoints

  • Direct secure messaging: healthcarecommons.camiloserrano@127476.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780744250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 CLARK CT",
            "city": "FRANKLINVILLE",
            "state": "NJ",
            "postal_code": "083222142",
            "telephone_number": "856-299-3200",
            "fax_number": "856-299-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S PENNSVILLE AUBURN RD",
            "city": "CARNEYS POINT",
            "state": "NJ",
            "postal_code": "080692936",
            "telephone_number": "856-299-3200",
            "fax_number": "856-299-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "CAMILO",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MAO70232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carneys Point, NJ

Sources for this page

Verify at the official NPI Registry.