DEVIN JUSTIN CAMPBELL
NPI 1164313227
Licensed Practical Nurse in Cambria Heights, NY

Active since July 15, 2025
22120 114TH AVE, CAMBRIA HEIGHTS, NY 11411(347) 551-6496 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Licensed Practical Nurse

About DEVIN CAMPBELL

This page provides the complete NPI Profile along with additional information for Devin Campbell, a provider established in Cambria Heights, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1164313227 assigned on July 2025. The practitioner's primary taxonomy code is 164W00000X with license number 352790 (NY). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1164313227 Verify this NPI
Provider Name
DEVIN JUSTIN CAMPBELL
Gender
Male
Entity Type
Individual
Location Address
22120 114TH AVE CAMBRIA HEIGHTS, NY 11411
Location Phone
(347) 551-6496
Mailing Address
22120 114TH AVE CAMBRIA HEIGHTS, NY 11411
Mailing Phone
(347) 551-6496
Is Sole Proprietor?
Yes
Enumeration Date
07-15-2025
Last Update Date
07-15-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
352790
License State
NY
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164313227, enumerated as an "individual" on July 15, 2025.

The provider is located at 22120 114TH AVE CAMBRIA HEIGHTS, NY 11411 and the phone number is (347) 551-6496.

Licensed Practical Nurse with taxonomy code 164W00000X.