Active NPI
Jaime Calderon, P.A
- Medical Physician Assistant
- New York, NY
National Provider Identifier
1295025799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 014527
- Practice address
- 520 E 70TH St # 403
New York, NY 10021-9800 - Phone
- (260) 746-7576
- Fax
- (212) 746-8246
- NPI assigned
- Apr 18, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 014527 | NY | Primary |
Addresses
Primary practice location
520 E 70TH St # 403
New York, NY 10021-9800
Mailing address
2602 New York Ave
Union City, NJ 07087-4621
Phone (347) 834-5996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250328001721 | NY | Practitioner - Physician Assistant | 3476076605 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014527 | NY | MD | Medical Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303084800000",
"number": "1295025799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 NEW YORK AVE",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070874621",
"telephone_number": "347-834-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E 70TH ST # 403",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100219800",
"telephone_number": "260-746-7576",
"fax_number": "212-746-8246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "JAIME",
"name_prefix": "Mr.",
"credential": "P.A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-18",
"last_updated": "2011-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "014527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.