Individual provider Active NPI

Bruce David Calligaro, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
National Provider Identifier
1154361079
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
NJ1081 Issued in NJ
Practice address
426 Hamburg Turnpike
Suite 204
Wayne, NJ 07470-2160
Phone
(973) 595-8900
Fax
(973) 595-0330
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NJ1081 NJ Primary

Addresses

Primary practice location

426 Hamburg Turnpike
Suite 204
Wayne, NJ 07470-2160

Mailing address

426 Hamburg Turnpike
Suite 204
Wayne, NJ 07470-2160
Phone (973) 595-8900

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
NJ1081NJMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1154361079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 HAMBURG TURNPIKE",
            "address_2": "SUITE 204",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702160",
            "telephone_number": "973-595-8900",
            "fax_number": "973-595-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 HAMBURG TURNPIKE",
            "address_2": "SUITE 204",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702160",
            "telephone_number": "973-595-8900",
            "fax_number": "973-595-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLIGARO",
        "first_name": "BRUCE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "NJ1081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.