Individual provider Active NPI

Jose Calderon

  • Registered Respiratory Therapist
  • Newton, NJ
National Provider Identifier
1013528843
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
43ZA00473900 Issued in NJ
Practice address
2 Maple Tree LN
Newton, NJ 07860-6818
Phone
(973) 713-4568
NPI assigned
Aug 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Registered Respiratory Therapist 2279C0205X 43ZA00473900 NJ
General Care Registered Respiratory Therapist 2279G1100X 43ZA00473900 NJ
Registered Respiratory Therapist 227900000X 43ZA00473900 NJ Primary

Addresses

Primary practice location

2 Maple Tree LN
Newton, NJ 07860-6818

Mailing address

2 Maple Tree LN
Newton, NJ 07860-6818
Phone (973) 713-4568

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Medici

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
43ZA00473900NJMDRegistered Respiratory Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1013528843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MAPLE TREE LN",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078606818",
            "telephone_number": "973-713-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAPLE TREE LN",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078606818",
            "telephone_number": "973-713-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "NJ",
            "license": "43ZA00473900",
            "primary": false
        },
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "NJ",
            "license": "43ZA00473900",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NJ",
            "license": "43ZA00473900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Medici",
            "affiliation": "N",
            "address_1": "2 Maple Tree Ln",
            "city": "Newton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078606818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.