Active NPI
Reginald Camillo MD PLLC
- Ophthalmology Physician
- Elmhurst, NY
National Provider Identifier
1821607995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03019972 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RCamillo@direct.eyemdemr.com | Direct |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.