Provider Demographics
NPI:1598775603
Name:CAMPAGNA, ROBERT D (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:CAMPAGNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:310 EAST 72ND STREET
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-717-7993
Mailing Address - Fax:212-249-7424
Practice Address - Street 1:310 EAST 72ND STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-717-7993
Practice Address - Fax:212-249-7424
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189176207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
76H052OtherEMPIRE WELLCHOICE PPO
31282POtherHIP
5500001OtherAETNA PPO POS
7405006 006OtherCIGNA HMO PPO
922093OtherAETNA HMO
NS4124OtherOXFORD
76H052OtherEMPIRE WELLCHOICE HMO
1349325OtherUNITED HEALTHCARE
1C5311OtherHEALTHNET PHS
F61793Medicare UPIN
76H051Medicare ID - Type Unspecified