Individual provider Active NPI

John W Acampa, M.D.

  • Orthopaedic Surgery Physician
  • Bay Shore, NY
National Provider Identifier
1982606257
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
157345 Issued in NY
Practice address
180 E Main St
Bay Shore, NY 11706-8427
Phone
(631) 968-8400
Fax
(631) 968-1711
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 157345 NY Primary

Addresses

Primary practice location

180 E Main St
Bay Shore, NY 11706-8427

Mailing address

180 E Main St
Bay Shore, NY 11706-8427
Phone (631) 968-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120305000148 NY Practitioner - Orthopedic Surgery 2961661368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York at Stony Brook, School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

180 E Main St
Bay Shore, NY 11706-8427
Phone 631968840012

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198
  • NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement40
Knee replacement73
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
157345NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John W. Acampa MD PC Orthopaedic Surgery CurrentSince Nov 6, 2011 Accepting new patients
Good Samaritan Hospital Medical Center Past Accepting new patients

Locations

180 E Main St
Bay Shore, NY 11706
Phone (631) 665-0027

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1982606257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068427",
            "telephone_number": "631-968-8400",
            "fax_number": "631-968-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068427",
            "telephone_number": "631-968-8400",
            "fax_number": "631-968-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACAMPA",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "157345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.