Active NPIIndividual provider

Phillip Campanella

Nurse Practitioner, Adult Health in Pomona, New Jersey

NPI Number1013609890
Practice location
65 W Jimmie Leeds RD, Pomona, NJ 08240-9102
Fax
—
Last updated
May 22, 2023

Phillip Campanella is a Nurse Practitioner, Adult Health based in Pomona, NJ. Phillip Campanella practices in Pomona, NJ. The NPI Number for Phillip Campanella is 1013609890 and holds a License No. 67044 (ID). The current practice location address for Phillip Campanella is 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102 and can be reached out via phone at 609-652-1000.

Provider Profile Details

NPI Number
1013609890
Provider Name
Phillip Campanella
Provider Entity Type
Individual
Gender
Male
Address
65 W Jimmie Leeds RD, Pomona, NJ 08240-9102
Phone Number
609-652-1000
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
May 22, 2023
Last Update Date
May 22, 2023
Certification Date
May 22, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 W Jimmie Leeds RD
Pomona, NJ 08240-9102
City
Pomona
Zip
08240-9102
Phone Number
609-652-1000
Pomona, NJ 08240Get directions →

Provider Business Mailing Address Details

Address
1250 State Route 34 Apt 5-8
Matawan, NJ 07747-1909
City
Matawan
State
NJ
Zip
07747-1909

License Information

License Number (1)
67044
License State (1)
ID
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
F309560-01
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (3)
26NJ01476800
License State (3)
NJ
Taxonomy (3)
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Phillip Campanella?

The NPI number of Phillip Campanella is 1013609890. It was assigned on May 22, 2023 and is currently active in the NPPES registry.

What is the specialty of Phillip Campanella?

Phillip Campanella is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in ID under license number 67044.

Where does Phillip Campanella practice?

The practice location is 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102. The office can be reached at 609-652-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013609890 directly on the NPPES registry website.

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