Active NPI
Agrippino Camiolo
- Other Technician
- New York, NY
National Provider Identifier
1972986008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 10017026
- Practice address
- 206 1St Ave
New York, NY 10009-3720 - Phone
- (212) 253-8686
- Fax
- (212) 253-2415
- NPI assigned
- Jul 7, 2015
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 10017026 | NY | Primary |
Addresses
Primary practice location
206 1St Ave
New York, NY 10009-3720
Mailing address
57 Burton Ave
Staten Island, NY 10309-3511
Phone (347) 258-0047
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10017026 | NY | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ny First Ave Corporation | Past | Accepting new patients | |
| Siya RX Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1205904596
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1326629338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1972986008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 BURTON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093511",
"telephone_number": "347-258-0047",
"fax_number": "212-253-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100093720",
"telephone_number": "212-253-8686",
"fax_number": "212-253-2415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMIOLO",
"first_name": "AGRIPPINO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NY",
"license": "10017026",
"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 Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.