Daniel J Calabrese, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9104090 Issued in FL

Practice address

270 N Sykes Creek Pkwy Ste 202
Merritt Island, FL 32953-3494

Phone

(321) 454-2468

NPI assigned

Jan 20, 2010

Last updated

Jan 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Dermatology Associates Inc

  dba Palm Bay Dermatology

  • MOHS-Micrographic Surgery Physician
  • Palm Bay, FL
  • NPI 1073577136
  Medicare reassignment
• Intergold LLC

  dba Indian River Walk In Clinic

  • Urgent Care Clinic/Center
  • Vero Beach, FL
  • NPI 1952311458
  NPD
• Randall B Rigdon LLC

  • Primary Care Clinic/Center
  • Merritt Island, FL
  • NPI 1982892501
  NPD (past)

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1265763916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 N SYKES CREEK",
            "address_2": "SUITE 202",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N SYKES CREEK PKWY STE 202",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533494",
            "telephone_number": "321-454-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALABRESE",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Lynn Bzura, PA-C
• C B 88 Inc D/B/a Tropical Optics
• Ria Melina Cabanero, MD
• Cadiz Senior Care (Farrington house assisted living facility)
• Heather Leigh Cadiz, OTR/L, CLT
• Colleen Callahan, LCSW
• Kyle James Callaway, OD
• Donna A Calvelli, ARNP
• Amanda Campbell, PA-C
• Kali Grace Campbell

• Medical Physician Assistant in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.

Verify at the official NPI Registry.