Individual provider Active NPI

Alfe A Masecampo, M.D.

  • Psychiatry Physician
  • Stratford, NJ
National Provider Identifier
1851501282
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA35243 Issued in NJ
Practice address
1 Colby Ave Ste 7
Stratford, NJ 08084-1000
Phone
(856) 541-1700
Fax
(856) 346-3627
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA35243 NJ Primary

Addresses

Primary practice location

1 Colby Ave Ste 7
Stratford, NJ 08084-1000

Mailing address

900 Dudley Ave
Cherry Hill, NJ 08002-4426
Phone (856) 541-1700

Other identifiers 1

IdentifierTypeStateIssuer
3937305MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA35243NJMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851501282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 DUDLEY AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080024426",
            "telephone_number": "856-541-1700",
            "fax_number": "856-346-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLBY AVE STE 7",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841000",
            "telephone_number": "856-541-1700",
            "fax_number": "856-346-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASECAMPO",
        "first_name": "ALFE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA35243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3937305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.