Provider Demographics
NPI:1598856924
Name:CAMPIONE, FRANK (PA-C)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:CAMPIONE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 STONEY POINT RD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-4911
Mailing Address - Country:US
Mailing Address - Phone:732-477-3935
Mailing Address - Fax:800-607-7063
Practice Address - Street 1:431 STONEY POINT RD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-4911
Practice Address - Country:US
Practice Address - Phone:732-477-3935
Practice Address - Fax:800-607-7063
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMP0005520363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00026708OtherRAILROAD MEDICARE
NJP00026708OtherRAILROAD MEDICARE
NJ067139NAFMedicare ID - Type UnspecifiedATLANTIC HOUSE CALL MEDIC