Active NPI
Anthony G Campo Jr MD PA
- Dermatology Physician
- Somers Point, NJ
National Provider Identifier
1972670099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA31043 | Other | NJ | DR CAMPO STATE LICENSE NU |
| 0103516000 | Other | AMERIHEALTH |
National Provider Directory
National Provider DirectoryLocations
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.