Active NPI
Marco A Campello, PT, PH.D.
- Orthopedic Physical Therapist
- New York, NY
National Provider Identifier
1972142446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 012069-1
- Practice address
- 63 Downing Street
New York, NY 10014 - Phone
- (212) 255-6690
- Fax
- (212) 255-6754
- NPI assigned
- Jan 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 012069-1 | NY | Primary |
Addresses
Primary practice location
63 Downing Street
New York, NY 10014
Mailing address
63 Downing Street
New York, NY 10014
Phone (212) 255-6690
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012069-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1972142446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 DOWNING STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10014",
"telephone_number": "212-255-6690",
"fax_number": "212-255-6754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 DOWNING STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10014",
"telephone_number": "212-255-6690",
"fax_number": "212-255-6754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPELLO",
"first_name": "MARCO",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PT, PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-02",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "012069-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.