EDRIC JASON R. CAAMPUED PA
NPI 1083321624
Physician Assistant - Medical in Hollywood, FL

Q: What is Edric Jason Caampued's NPI number?

The NPI number for Edric Jason Caampued is 1083321624. It was assigned to this individual provider in the NPPES registry on November 2, 2022.

Q: What is Edric Jason Caampued's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since November 02, 2022PECOS Enrolled

1859 VAN BUREN ST, HOLLYWOOD, FL 33020(954) 930-9000 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Edric Jason R. Caampued Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDRIC JASON R. CAAMPUED PA (NPI 1083321624) is an individual medical provider in Hollywood, Florida, licensed in Florida (PA9115931) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hallandale Beach.

NPPES Registry Identity

NPI1083321624

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameEDRIC JASON R. CAAMPUEDCredential: PA

Location Address1859 VAN BUREN STHollywood, FL 33020-5127

Mailing Address15320 Sw 49th StMiramar, FL 33027 · (954) 397-2410

Phone(954) 930-9000

Sole ProprietorYes

Enumeration DateNovember 2, 2022

NPPES CertifiedNovember 2, 2022

✔ NPI 1083321624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9115931

1859 VAN BUREN ST, Hollywood, FL 33020

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Secondary Practice Location 1

Location 1701 N Federal Hwy Ste 601Hallandale Beach, FL 33009-2449 · Phone (954) 573-2195

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edric Jason R. Caampued Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUC RICHE

Physical Therapist

1859 VAN BUREN ST
HOLLYWOOD, FL 33020

Broward County (954) 920-9000

KND DEVELOPMENT 59, LLC

Hospitalist

1859 VAN BUREN ST
HOLLYWOOD, FL 33020

Broward County (954) 920-9000

HEMATO-ONOCOLOGY MEDICINE ASSOCIATES PA

Internal Medicine (Hematology & Oncology)

1859 VAN BUREN ST
HOLLYWOOD, FL 33020

Broward County (954) 920-0900

KINDRED HOSPITAL EKG ASSOCIATES INC

Internal Medicine (Cardiovascular Disease)

1859 VAN BUREN ST
HOLLYWOOD, FL 33020

Broward County (954) 926-3824

CHRISTOPHER HARRIS DPT

Physical Therapist

1859 VAN BUREN ST
HOLLYWOOD, FL 33020

Broward County (954) 920-9000

GREATER FLORIDA ANESTHESIOLOGISTS, LLC

Anesthesiology

1859 VAN BUREN ST
HOLLYWOOD, FL 33020

Broward County (877) 328-1119

KINDRED HOSPITALS EAST, LLC

Skilled Nursing Facility

1859 VAN BUREN ST, 2ND FL
HOLLYWOOD, FL 33020

Broward County (954) 920-9000

JOHN P SAYDI MD PLLC

Surgery (Trauma Surgery)

1859 VAN BUREN ST
HOLLYWOOD, FL 33020

Broward County (727) 692-3222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edric Jason Caampued's NPI number?

The NPI number for Edric Jason Caampued is 1083321624. It was assigned to this individual provider in the NPPES registry on November 2, 2022.

Where is Edric Jason Caampued located?

Edric Jason Caampued practices at 1859 Van Buren St, Hollywood, FL 33020. The listed phone number is (954) 930-9000.

What is Edric Jason Caampued's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Edric Jason Caampued enrolled in Medicare?

Yes. Edric Jason Caampued is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edric Jason Caampued was last updated on November 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.