Active NPI
Theodore Camiscioli, M.D,
- Nephrology Physician
- Haddonfield, NJ
National Provider Identifier
1790917466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25MA02274700
- Practice address
- 28 Lane of Acres
Haddonfield, NJ 08033-3505 - Phone
- (856) 428-5397
- Fax
- (856) 428-5397
- NPI assigned
- Aug 14, 2009
- Last updated
- Aug 14, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 25MA02274700 | NJ | Primary |
Addresses
Primary practice location
28 Lane of Acres
Haddonfield, NJ 08033-3505
Mailing address
28 Lane of Acres
Haddonfield, NJ 08033-3505
Phone (856) 428-5397
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02274700 | NJ | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250208000000",
"number": "1790917466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 LANE OF ACRES",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "080333505",
"telephone_number": "856-428-5397",
"fax_number": "856-428-5397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 LANE OF ACRES",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "080333505",
"telephone_number": "856-428-5397",
"fax_number": "856-428-5397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMISCIOLI",
"first_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "M.D,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-14",
"last_updated": "2009-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "25MA02274700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haddonfield, NJ
- Francis Regis Bulman, MSW, LCSW
- Burlington Mercer Podiatry Assoc LLC
- Loren T Burns, MD
- Jessica Lynn Cahill, RD
- Claire L Caltabiano, MD
- Amy Beth Carnall, APN,C, DNP
- Jose A Carreras, M.D.
- Stephen M Carroll, LCSW
- CCS Dental LLC (Courtney Cleary DMD Family and Cosmetic Dentistry)
- Center for Intimate Relationships L.L.C. (Center for Intimate Relationships)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.