Johanna P Campos Pacheco

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

639 Bond CT
Merrick, NY 11566-1240

Phone

(718) 710-1635

NPI assigned

Apr 8, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1982498572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7948 69TH AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792917",
            "telephone_number": "718-710-1635",
            "fax_number": "718-710-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 BOND CT",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661240",
            "telephone_number": "718-710-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS PACHECO",
        "first_name": "JOHANNA",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Frances Caggiano, RPH
• Marvin Francis Cajoles
• Maria Callejas, LICENSED NUTRITIONIS
• Nicole Camilo
• Robert Cammarata, DDS
• Michael Canare
• Paula Candidus, LMT
• Nicolette Capranzano, LMHC
• Emanuela Annamaria Capricchione, RPH
• Janis Caravello

• Case Manager/Care Coordinator in Merrick, NY
• Providers in Merrick, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.