Active NPI
Rosa Calderon
- Clinical Social Worker
- New York, NY
National Provider Identifier
1346462389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P029796-1
- Practice address
- 1301 5TH Ave
New York, NY 10029-3119 - Phone
- (212) 426-3400
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P029796-1 | NY | Primary |
Addresses
Primary practice location
1301 5TH Ave
New York, NY 10029-3119
Mailing address
109 Sandpiper Ky
Secaucus, NJ 07094-2210
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P029796-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346462389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 SANDPIPER KY",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070942210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100293119",
"telephone_number": "212-426-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "ROSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "P029796-1",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.