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William Michael Camarota , CPSW

Physician β€’ Gallup, NM

Deactivated NPI 1235764903 Deactivated in NPPES Male Practitioner
Practice location in NPPES

650 Vandenbosch Pkwy
Gallup, NM 873015508

Phone: 5057266919

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of June 07, 2023; the reason is not published. The records below are historical. They do not show whether William Camarota currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date March 03, 2020
NPI Deactivation Date June 07, 2023
NPI Active Period 2020 – 2023

Practice Location & Contact Primary Location

Practice Address

650 Vandenbosch Pkwy

Gallup, NM 873015508

Telephone 5057266919
Fax 5057266937

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Gallup and New Mexico

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Substance Abuse Rehabilitation Facility Primary Specialty

NUCC Taxonomy Code: 324500000X

License # reported to NPPES NM 754

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Mexico State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated June 07, 2023

NPPES lists this NPI as deactivated as of June 07, 2023; the reason is not published.

βœ…
NPI Profile Active March 03, 2020

NPI status registered as active in NPPES database

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Practice Location (Initial Record) March 03, 2020

Registered at 650 VANDENBOSCH PKWY, GALLUP, NM 873015508 (Tel: 5057266919)

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Business Mailing Address (Initial Record) March 03, 2020

Registered at 650 VANDENBOSCH PKWY, GALLUP, NM 873015508 (Tel: 5057266919)

πŸ‘€
Provider Name / Credentials (Initial Record) March 03, 2020

Recorded as WILLIAM CAMAROTA, CPSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2020

Substance Abuse Rehabilitation Facility (license number reported to NPPES: NM 754)

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Initial NPI Registration & Enumeration March 03, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235764903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2020
Last Update: March 03, 2020
Deactivation Date: June 07, 2023

Mailing Address

650 Vandenbosch Pkwy

Gallup, NM 873015508

Phone: 5057266919

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.