Individual provider Active NPI

Mae Faye De la Calzada-Jeanlouie, D.O.

  • Emergency Medicine Physician
  • Warren, NJ
National Provider Identifier
1275853897
Registry record updated Jun 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB08715200 Issued in NJ
Practice address
16 Foxglove Dr
Warren, NJ 07059-5000
Phone
(908) 604-6350
NPI assigned
Jun 5, 2010
Last updated
Jun 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB08715200 NJ Primary

Addresses

Primary practice location

16 Foxglove Dr
Warren, NJ 07059-5000

Mailing address

16 Foxglove Dr
Warren, NJ 07059-5000
Phone (908) 604-6350

Other names 1

  • Dr. Mae Faye De la Calzada Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100728000111 NJ Practitioner - Emergency Medicine 0941333942 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians

Practice addresses (Care Compare)

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.07 of 100Reported as group
Quality
76.5
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB08715200NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Georgia Inc Emergency Medicine Current Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Nov 23, 2024 Accepting new patients
Rwjbh Observation Associates LLC Emergency Medicine CurrentSince May 10, 2024 Accepting new patients
Nes Georgia Inc Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275696000000",
    "number": "1275853897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FOXGLOVE DR",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595000",
            "telephone_number": "908-604-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FOXGLOVE DR",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595000",
            "telephone_number": "908-604-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CALZADA-JEANLOUIE",
        "first_name": "MAE",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-05",
        "last_updated": "2010-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB08715200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAE",
            "last_name": "DE LA CALZADA",
            "middle_name": "FAYE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warren, NJ

Sources for this page

Verify at the official NPI Registry.