Active NPIIndividual providerSole proprietor

Carlos A Cevallos

Emergency Medicine in Camden, New Jersey

NPI Number1174107585
Practice location
1 Cooper Plz, Camden, NJ 08103-1461
Fax
—
Last updated
July 1, 2025

Carlos Alexander Cevallos is an Emergency Medicine based in Camden, NJ. Carlos Alexander Cevallos practices in Camden, NJ. The NPI Number for Carlos Alexander Cevallos is 1174107585 and holds a License No. 0101285002 (VA). The current practice location address for Carlos Alexander Cevallos is 1 Cooper Plz, Camden, NJ 08103-1461 and can be reached out via phone at 856-342-2352.

Provider Profile Details

NPI Number
1174107585
Provider Name
Carlos Alexander Cevallos
Provider Entity Type
Individual
Gender
Male
Address
1 Cooper Plz, Camden, NJ 08103-1461
Phone Number
856-342-2352
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 11, 2021
Last Update Date
July 1, 2025
Certification Date
July 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Cooper Plz
Camden, NJ 08103-1461
City
Camden
Zip
08103-1461
Phone Number
856-342-2352
Camden, NJ 08103Get directions →

Provider Business Mailing Address Details

Address
1 Cooper Plz
Camden, NJ 08103-1461
City
Camden
State
NJ
Zip
08103-1461
Phone Number
856-342-2352

License Information

License Number (2)
0101285002
License State (2)
VA
Taxonomy (2)
Emergency Medicine · 207P00000X · 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 Carlos A Cevallos?

The NPI number of Carlos A Cevallos is 1174107585. It was assigned on May 11, 2021 and is currently active in the NPPES registry.

What is the specialty of Carlos A Cevallos?

Carlos A Cevallos is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in VA under license number 0101285002.

Where does Carlos A Cevallos practice?

The practice location is 1 Cooper Plz, Camden, NJ 08103-1461. The office can be reached at 856-342-2352 (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 1174107585 directly on the NPPES registry website.

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