Active NPI 1629047048 Individual Practitioner Male Practitioner

Dr. Antonio Camilo , MD

Pediatrics • Passaic, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Antonio Camilo, MD is a registered healthcare professional specializing in Pediatrics in Passaic, NJ. Practice services are available at 80 PASSAIC AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

80 Passaic Ave

Passaic, NJ 070554860

Telephone 9734711010

Fax 9734714951

Associated Practice Facility / Clinic

🏢 Integral Medical Care Pc Facility NPI 1497988950

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Passaic, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 29.0 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

19 Specialists

Practicing in Passaic, NJ (2321 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ 25MA07167400

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0083691 (NJ)

Medicaid State Provider ID

8407509 (NJ)

Medicaid State Provider ID

8407304 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Judelka Japa Camilo , MD

Pediatrics

NPI 1659418978

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 03, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 03, 2008

Registered at 80 PASSAIC AVE, PASSAIC, NJ 070554860 (Tel: 9734711010)

📍

Updated Business Mailing Address June 03, 2008

Registered at 80 PASSAIC AVE, PASSAIC, NJ 070554860 (Tel: 9734711010)

👤

Provider Name / Credentials Updated June 03, 2008

Recorded as ANTONIO CAMILO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2008

Pediatrics (License #25MA07167400 in NJ)

🟢

Initial NPI Registration & Enumeration March 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629047048

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 16, 2006

Last Update: June 03, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

80 Passaic Ave

Passaic, NJ 070554860

Phone: 9734711010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.