NPIMap

Organization Active NPI

Blue Spectrum Family Health NP PLLC

  • Primary Care Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1194326983
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
BLUE SPECTRUM FAMILY HEALTH NP PLLC
Practice address
2 Ocean Dr Apt W09F
Brooklyn, NY 11224-3768
Phone
(718) 200-8094
Fax
(718) 228-3868
NPI assigned
Nov 6, 2020
Last updated
Apr 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Dr. Juan Carlos Ortiz Calcano, DNP, FNP-BC
Title
Business Owner/Family Health NP
Phone
(718) 200-8094

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

2 Ocean Dr Apt W09F
Brooklyn, NY 11224-3768

Mailing address

13201 Roosevelt Ave PMB 818149
Flushing, NY 11354-5258
Phone (718) 200-8094

National Provider Directory

National Provider Directory

Locations

13201 Roosevelt Ave
Flushing, NY 11354

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1194326983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 ROOSEVELT AVE PMB 818149",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545258",
            "telephone_number": "718-200-8094",
            "fax_number": "718-228-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OCEAN DR APT W09F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243768",
            "telephone_number": "718-200-8094",
            "fax_number": "718-228-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPECTRUM FAMILY HEALTH NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2024-04-25",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "ORTIZ CALCANO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "BUSINESS OWNER/FAMILY HEALTH NP",
        "authorized_official_telephone_number": "718-200-8094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.