Individual provider Active NPI

Edward Gabriel Camerino, M.D.

  • Family Medicine Physician
  • Ephrata, PA
National Provider Identifier
1881665362
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 041289 E Issued in PA
Practice address
44 Lancaster Ave
Ephrata, PA 17522-1700
Phone
(717) 738-2468
Fax
(717) 738-9936
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 041289 E PA Primary

Addresses

Primary practice location

44 Lancaster Ave
Ephrata, PA 17522-1700

Mailing address

44 Lancaster Ave
Ephrata, PA 17522-1700
Phone (717) 738-2468

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
MD 041289 EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ephrata Community Hospital PastSince Jul 1, 2012 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1881665362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 LANCASTER AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221700",
            "telephone_number": "717-738-2468",
            "fax_number": "717-738-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 LANCASTER AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221700",
            "telephone_number": "717-738-2468",
            "fax_number": "717-738-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERINO",
        "first_name": "EDWARD",
        "middle_name": "GABRIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD 041289 E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.