Organization Active NPI

Dr Maria a Campoalegre MD.PA

  • Internal Medicine Physician
  • Union City, NJ
National Provider Identifier
1811334063
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08668100 Issued in NJ
Legal business name
DR MARIA A CAMPOALEGRE MD.PA
Practice address
407 39TH St
Ste#403
Union City, NJ 07087-4817
Phone
(201) 249-2327
Fax
(201) 330-2838
NPI assigned
May 29, 2013
Last updated
May 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Maria A Campoalegre, MDNPI 1366609174
Title
Owner
Phone
(201) 249-2327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08668100 NJ Primary

Addresses

Primary practice location

407 39TH St
Ste#403
Union City, NJ 07087-4817

Mailing address

407 39TH St
Ste#403
Union City, NJ 07087-4817
Phone (201) 249-2327

Other identifiers 1

IdentifierTypeStateIssuer
0227196MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130727000019 NJ Part B Supplier - Clinic/Group Practice 3870734254 Receives reassigned benefits from 1 practitioner
Practice locations: Union City, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1811334063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 39TH ST",
            "address_2": "STE#403",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874817",
            "telephone_number": "201-249-2327",
            "fax_number": "201-330-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 39TH ST",
            "address_2": "STE#403",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874817",
            "telephone_number": "201-249-2327",
            "fax_number": "201-330-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARIA A CAMPOALEGRE MD.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "CAMPOALEGRE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-249-2327",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08668100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0227196",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.