Individual provider Active NPI

Michael Ernesto Calderone, DPM

  • Foot & Ankle Surgery Podiatrist
  • Millville, NJ
National Provider Identifier
1376907071
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00345000 Issued in NJ
Practice address
1600 High St N Ste 201
Millville, NJ 08332-1922
Phone
(856) 825-9009
Fax
(404) 446-1957
NPI assigned
Apr 8, 2016
Last updated
Aug 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00345000 NJ Primary

Addresses

Primary practice location

1600 High St N Ste 201
Millville, NJ 08332-1922

Mailing address

1600 High St N Ste 201
Millville, NJ 08332-1922
Phone (856) 825-9009

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200619000010 NJ Practitioner - Podiatry 8820327406 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

1505 W Sherman Ave
Vineland, NJ 08360-7059

798 Centerton Rd
Pittsgrove, NJ 08318-3945
Phone (856) 358-6161

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue495
Removal of skin lesions1-10
Removal of nail tissue19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00345000NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Foot and Ankle Surgical Associates PC Podiatrist CurrentSince Aug 1, 2020 Accepting new patients
Advanced Orthopaedic Centers PA CurrentSince Jul 1, 2020 Accepting new patients
Excelcare Alliance, LLC CurrentSince Jul 1, 2021 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince May 1, 2023 Accepting new patients
Dendrinos Medical Associates, P.a. Past Accepting new patients

Locations

525 State St
Ste 6
Elmer, NJ 08318
Phone (856) 279-2842

1600 High St N
Millville, NJ 08332
Phone (856) 413-3021

1600 High St N
Ste 201
Millville, NJ 08332
Phone (856) 825-9009

3 Elizabeth St
Millville, NJ 08332
Phone (856) 327-4580

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

1206 W Sherman Ave
Bldg 1
Vineland, NJ 08360
Phone (856) 462-6250

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

2020 E Chestnut Ave
Vineland, NJ 08361
Phone (856) 563-1600

2815 E Chestnut Ave
Vineland, NJ 08361
Phone (856) 691-3145

297 Westwood Dr
Ste 107
West Deptford, NJ 08096
Phone (856) 848-3880

17 W Red Bank Ave
Ste 104
Woodbury, NJ 08096
Phone (856) 848-0665

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12810/brand/1/csg/1/fhir/r4

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 6

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1376907071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HIGH ST N STE 201",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321922",
            "telephone_number": "856-825-9009",
            "fax_number": "404-446-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HIGH ST N STE 201",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321922",
            "telephone_number": "856-825-9009",
            "fax_number": "404-446-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERONE",
        "first_name": "MICHAEL",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00345000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, NJ

Sources for this page

Verify at the official NPI Registry.