Jose S. Campos, MD

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

25MA09196100 Issued in NJ

Practice address

901 Route 23 South
2ND Floor
Pompton Plains, NJ 07444-1025

Phone

(862) 666-9285

Fax

(862) 666-9287

NPI assigned

Jun 20, 2008

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 23, 2017 through Jan 23, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Jersey Integrative Health & Wellness, PC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Wayne, NJ
  • NPI 1306291786
  NPD Authorized official
• Jersey Integrative Spine & Sports, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Boonton, NJ
  • NPI 1578103388

  Sports Medicine

  NPD Authorized official

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1801057997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ROUTE 23 SOUTH",
            "address_2": "2ND FLOOR",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441025",
            "telephone_number": "862-666-9285",
            "fax_number": "862-666-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ROUTE 23 SOUTH",
            "address_2": "2ND FLOOR",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441025",
            "telephone_number": "862-666-9285",
            "fax_number": "862-666-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "JOSE",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NJ",
            "license": "25MA09196100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Bush, LCSW
• Maureen Ann Bussanich, PT
• Donghong Cai, MD
• Brandon William Calenda, M.D.
• Erin Campbell, OTR/L
• Mario R Capio, M.D.
• Kaitlyn Carbone
• Cedar Crest
• Cedar Crest Village Inc
• Cedar Crest Village Inc

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Pompton Plains, NJ
• Providers in Pompton Plains, NJ by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.