Organization Active NPI

Anthony G Campo Jr MD PA

  • Dermatology Physician
  • Somers Point, NJ
National Provider Identifier
1972670099
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ANTHONY G CAMPO JR MD PA
Practice address
223 Shore Road
Somers Point, NJ 08244
Phone
(609) 653-8040
Fax
(609) 653-1568
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Mrs. Maria Ann Campo
Title
Cfo
Phone
(609) 653-8040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

223 Shore Road
Somers Point, NJ 08244

Mailing address

223 Shore Road
Somers Point, NJ 08244
Phone (609) 653-8040

Other identifiers 2

IdentifierTypeStateIssuer
MA31043OtherNJDR CAMPO STATE LICENSE NU
0103516000OtherAMERIHEALTH

National Provider Directory

National Provider Directory

Locations

223 Shore Rd
Somers Point, NJ 08244
Phone (609) 653-8040

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1972670099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 SHORE ROAD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "08244",
            "telephone_number": "609-653-8040",
            "fax_number": "609-653-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 SHORE ROAD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "08244",
            "telephone_number": "609-653-8040",
            "fax_number": "609-653-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY G CAMPO JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "CAMPO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-653-8040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR CAMPO STATE LICENSE NU",
            "identifier": "MA31043",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0103516000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.