Organization Active NPI

Reginald Camillo MD PLLC

  • Ophthalmology Physician
  • Elmhurst, NY
National Provider Identifier
1821607995
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
REGINALD CAMILLO MD PLLC
Practice address
7708 Broadway
Elmhurst, NY 11373-1927
Phone
(929) 376-8997
Fax
(888) 386-9586
NPI assigned
Jul 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Ms. Nadine A Smith
Title
Billing Manager
Phone
(718) 824-1560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

7708 Broadway
Elmhurst, NY 11373-1927

Mailing address

7708 Broadway
Elmhurst, NY 11373-1927
Phone (929) 376-8997

Other identifiers 1

IdentifierTypeStateIssuer
03019972MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RCamillo@direct.eyemdemr.com Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: rcamillo@direct.eyemdemr.com

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1821607995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7708 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731927",
            "telephone_number": "929-376-8997",
            "fax_number": "888-386-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7708 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731927",
            "telephone_number": "929-376-8997",
            "fax_number": "888-386-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINALD CAMILLO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-824-1560",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03019972",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RCamillo@direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7708 Broadway",
            "city": "Elmhurst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113731927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.