Individual provider Active NPI

Brian Campenella, PA-C

  • Surgical Physician Assistant
  • Voorhees, NJ
National Provider Identifier
1932234432
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00131000 Issued in NJ
Practice address
600 Somerdale Rd
Suite 113
Voorhees, NJ 08043-1858
Phone
(856) 795-1945
Fax
(856) 795-7472
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00131000 NJ Primary

Addresses

Primary practice location

600 Somerdale Rd
Suite 113
Voorhees, NJ 08043-1858

Mailing address

600 Somerdale Rd
Suite 113
Voorhees, NJ 08043-1858
Phone (856) 795-1945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050114000034 NJ Practitioner - Physician Assistant 7113976390 Reassigns benefits to 1 organization
I20121129000048 PA Practitioner - Physician Assistant 7113976390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

999 Route 73 N
Suite 401
Marlton, NJ 08053-1227
Phone (800) 321-9999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00131000NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Sep 1, 2012 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Oct 1, 2011 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Oct 1, 2011 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Sep 1, 2012 Accepting new patients
Orthopedic Reconstruction Specialists LLC Past Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Interoperability endpoints

  • Direct secure messaging: brian.campenella@rot.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1932234432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SOMERDALE RD",
            "address_2": "SUITE 113",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431858",
            "telephone_number": "856-795-1945",
            "fax_number": "856-795-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SOMERDALE RD",
            "address_2": "SUITE 113",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431858",
            "telephone_number": "856-795-1945",
            "fax_number": "856-795-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPENELLA",
        "first_name": "BRIAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00131000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.