Healthcare Provider Details

I. General information

NPI: 1861047128
Provider Name (Legal Business Name): ANDREW J CAMPANA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2019
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 STELTON RD
PISCATAWAY NJ
08854-3879
US

IV. Provider business mailing address

1 SARATOGA CT
PISCATAWAY NJ
08854-5741
US

V. Phone/Fax

Practice location:
  • Phone: 732-424-1717
  • Fax:
Mailing address:
  • Phone: 908-705-7872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00762100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: