SALVADOR DEOCAMPO JR
NPI 1205197563
Skilled Nursing Facility - Nursing Care, Pediatric in New York, NY

Active since June 04, 2012
4080 BROADWAY, NEW YORK, NY 10032(212) 928-0000 Get Directions Write a Review

NPPES record last updated: June 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Salvador Deocampo Jr NPPES

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

SALVADOR DEOCAMPO JR (NPI 1205197563) is a healthcare organization registered as a nursing care, pediatric in New York, New York and active in the NPI registry since June 2012. The organization lists Salvador Dariarte Deocampo, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1205197563
Entity TypeOrganization
Primary Taxonomy3140N1450X
Legal Business NameSALVADOR DEOCAMPO JR
Location Address4080 BROADWAYNew York, NY 10032-1542
Mailing Address8620 56th AveElmhurst, NY 11373-4830 · (347) 268-1299
Organization SubpartNo
Authorized OfficialSalvador Dariarte DeocampoPhysical Therapist · (347) 268-1299
Enumeration DateJune 4, 2012
NPI 1205197563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
License Licensed in NY · 029243
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
4080 BROADWAY, New York, NY 10032

Other Providers at the Same Location NPPES 3

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

Physical Therapist
4080 BROADWAY
NEW YORK, NY 10032
Physical Medicine & Rehabilitation
4080 BROADWAY
NEW YORK, NY 10032
Chiropractor
4080 BROADWAY
NEW YORK, NY 10032

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 Salvador Deocampo Jr's NPI number?

The NPI number for Salvador Deocampo Jr is 1205197563. It was assigned to this organization in the NPPES registry on June 4, 2012.

Where is Salvador Deocampo Jr located?

Salvador Deocampo Jr is located at 4080 Broadway, New York, NY 10032. The listed phone number is (212) 928-0000.

What is Salvador Deocampo Jr's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for Salvador Deocampo Jr was last updated on June 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.