Active NPI
Robert C. Calvo, M.D.
- Hematology (Internal Medicine) Physician
- Willingboro, NJ
National Provider Identifier
1114910262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Internal Medicine) Physician
- License
- 25MA02156300
- Practice address
- 218C Sunset Rd
Willingboro, NJ 08046-1104 - Phone
- (609) 877-0400
- Fax
- (609) 877-1682
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA02156300 | NJ | |
| Internal Medicine Physician | 207R00000X | MD010041E | PA | |
| Hematology (Internal Medicine) Physician | 207RH0000X | 25MA02156300 | NJ | Primary |
| Hematology (Internal Medicine) Physician | 207RH0000X | MD010041E | PA |
Addresses
Primary practice location
218C Sunset Rd
Willingboro, NJ 08046-1104
Mailing address
218C Sunset Rd
Willingboro, NJ 08046-1104
Phone (609) 877-0400
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007517000 | Other | NJ | AMERIHEALTH/KEYSTONE/IBC |
| 18955 | Other | NJ | UNIVERISTY HEALTH PLAN |
| P3597668 | Other | NJ | OXFORD |
| 3817511 | Other | NJ | AETNA |
| 60028518 | Other | NJ | HORIZON NJ HEALTH |
| 3K5920 | Other | NJ | HEALTHNET, INC |
| 897967 | Other | NJ | UNITED HEALTH CARE |
| 1501801 | Medicaid | NJ | |
| 897967 | Other | NJ | UNIVERISTY HEALTH PLAN |
| 058086 | Other | NJ | AMERIHEALTH PPO/PABS |
| 0913444 | Other | NJ | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170819000030 | NJ | Order and Referring Only - Hematology | 8729983432 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD010041E | PA | MD | Internal Medicine Physician |
| 25MA02156300 | NJ | MD | Hematology (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1114910262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218C SUNSET RD",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080461104",
"telephone_number": "609-877-0400",
"fax_number": "609-877-1682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218C SUNSET RD",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080461104",
"telephone_number": "609-877-0400",
"fax_number": "609-877-1682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALVO",
"first_name": "ROBERT",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA02156300",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD010041E",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "NJ",
"license": "25MA02156300",
"primary": true
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "PA",
"license": "MD010041E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/KEYSTONE/IBC",
"identifier": "007517000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERISTY HEALTH PLAN",
"identifier": "18955",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3597668",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3817511",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "60028518",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET, INC",
"identifier": "3K5920",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "897967",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1501801",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERISTY HEALTH PLAN",
"identifier": "897967",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO/PABS",
"identifier": "058086",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0913444",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Willingboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.