Provider Demographics
NPI:1609968676
Name:CAMPO, RICHARD P (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:P
Last Name:CAMPO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2104
Mailing Address - Country:US
Mailing Address - Phone:908-273-4300
Mailing Address - Fax:
Practice Address - Street 1:277 FOREST AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652
Practice Address - Country:US
Practice Address - Phone:201-489-8900
Practice Address - Fax:201-489-0877
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06409300208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ10203OtherMEDICHOICE
NJ971867OtherFIRST HEALTH
NJ1000752OtherGHI
NJ2984400 012OtherCIGNA
NJ340016986OtherRAIL ROAD
NJ366167OtherPHCS
NJ1434931OtherUNITED HEALTHCARE
NJP414450OtherOXFORD
NJ1K 2196OtherHEALTHNET
NJ1K 2196OtherPHS
NJ2158585OtherAETNA
NJ31764OtherMASTERCARE
NJ58121705OtherMULTIPLAN
NJ22742OtherUNIVERSITY
NJ82L75 1OtherEMPIRE
NJ7059205Medicaid
NJ82L75 1OtherWELLCHOICE
NJ971867OtherFIRST HEALTH
NJ82L75 1OtherWELLCHOICE