Individual provider Active NPI

Camille E. Semple, D.O.

  • Obstetrics & Gynecology Physician
  • Willingboro, NJ
National Provider Identifier
1871541938
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB07130000 Issued in NJ
Practice address
215 Sunset Rd
Suite 204
Willingboro, NJ 08046-1108
Phone
(609) 871-6800
Fax
(609) 871-9399
NPI assigned
May 4, 2006
Last updated
Oct 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB07130000 NJ Primary

Addresses

Primary practice location

215 Sunset Rd
Suite 204
Willingboro, NJ 08046-1108

Mailing address

25 Edgely PL
P.O. Box 2013
Willingboro, NJ 08046-2362
Phone (609) 871-8337

Other identifiers 1

IdentifierTypeStateIssuer
8993203MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170105001029 NJ Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 5991760084

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1871541938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 EDGELY PL",
            "address_2": "P.O. BOX 2013",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462362",
            "telephone_number": "609-871-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SUNSET RD",
            "address_2": "SUITE 204",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461108",
            "telephone_number": "609-871-6800",
            "fax_number": "609-871-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMPLE",
        "first_name": "CAMILLE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB07130000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.