Provider Demographics
NPI:1902996796
Name:CAMPELLONE, JOSEPH V (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:V
Last Name:CAMPELLONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 215
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-342-2445
Mailing Address - Fax:
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 215
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-342-2445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA639182084N0400X
PAMD058062L2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ010003875OtherAMERICHOICE
NJ0966963000OtherAMERIHEALTH/KEYSTONE/IBC
NJ6962106Medicaid
NJ0578869OtherAETNA
NJ1563590OtherCIGNA
NJ1051786OtherHORIZON NJ HEALTH
NJ15188OtherUNIVERSITY HEALTH PLAN
NJ3K6119OtherHEALTHNET, INC
NJ860250OtherAMERIHEALTH PPO/PABS
NJ1448372OtherUNITED HEALTHCARE
NJP414460OtherOXFORD
NJ1563590OtherCIGNA
NJ0966963000OtherAMERIHEALTH/KEYSTONE/IBC