Active NPI
Theresa C Campagna, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN254498L
- Practice address
- 51 North 39TH Street
Philadelphia, PA 19104-2640 - Phone
- (215) 662-8244
- NPI assigned
- Jul 14, 2006
- Last updated
- Nov 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN254498L | PA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 26NR07263200 | NJ |
Addresses
Primary practice location
51 North 39TH Street
Philadelphia, PA 19104-2640
Mailing address
51 North 39TH Street
Philadelphia, PA 19104-2640
Phone (215) 662-8244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50083771 | Other | PA | CAPITAL BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (609) 853-7450
30 Prospect Ave
Hackensack, NJ 07601-1914
Phone (201) 488-0066
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN254498L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Healthcare Specialists PC | Current | Accepting new patients | |
| Princeton Healthcare Affiliated Physicians PC | Current | Accepting new patients | |
| Princeton Healthcare Affiliated Physicians PC | Current | Accepting new patients | |
| Clinical Pain Management Associates, PC | Past | Accepting new patients | |
| James F Noone MD PC | Past | Accepting new patients | |
| Huntingdon Valley Anesthesia Associates | Past | Accepting new patients | |
| Anesthesia Providers P.a. | Past | Accepting new patients |
Locations
401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
-
dba Princeton HealthCare Medical Associates
- Internal Medicine Physician
- Plainsboro, NJ
- NPI 1518194323
-
dba Montgomery Internal Medicine Group - Princeton Medicine
- Internal Medicine Physician
- Princeton, NJ
- NPI 1770176372
-
- Pain Medicine Physician
- Fairless Hills, PA
- NPI 1265488308
-
- Specialist
- Meadowbrook, PA
- NPI 1710933114
-
- Specialist
- Meadowbrook, PA
- NPI 1699721001
-
- Anesthesiology Physician
- New York, NY
- NPI 1992906119
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Penn Medicine Princeton Medical Center
- General Acute Care Hospital
- Plainsboro, NJ
- NPI 1689714255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322006400000",
"number": "1801812540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 NORTH 39TH STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042640",
"telephone_number": "215-662-8244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 NORTH 39TH STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042640",
"telephone_number": "215-662-8244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPAGNA",
"first_name": "THERESA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2011-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN254498L",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NR07263200",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50083771",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.