Individual provider Active NPI

Cecilia Griselda Calderon, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1427118140
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
255626 Issued in NY
Practice address
1262 Boston Rd
Suite 2
Bronx, NY 10456-3602
Phone
(718) 569-7929
Fax
(347) 590-5482
NPI assigned
Dec 11, 2006
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 255626 NY Primary

Addresses

Primary practice location

1262 Boston Rd
Suite 2
Bronx, NY 10456-3602

Mailing address

1262 Boston Rd
Suite 2
Bronx, NY 10456-3602
Phone (718) 569-7929

Other identifiers 2

IdentifierTypeStateIssuer
02932589MedicaidNY
255626OtherNYMEDICAL LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070926000033 NY Practitioner - Internal Medicine 0143314880 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CCN General Medicine PLLCGroup PAC ID 3577699339, 3 clinicians
Audubon Primary Care Medicine PLLCGroup PAC ID 5890920656, 6 clinicians
181St Street Medical PCGroup PAC ID 8022242130, 8 clinicians

Practice addresses (Care Compare)

1262 Boston Rd
Suite 2
Bronx, NY 10456-3541
Phone (718) 569-7929

325 Audubon Ave
New York, NY 10033-4204

521 W 181St St
New York, NY 10033-5102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Audubon Primary Care Medicine PLLC Internal Medicine CurrentSince May 28, 2013 Accepting new patients
181St Street Medical P.C. Internal Medicine CurrentSince May 28, 2013 Accepting new patients

Locations

325 Audubon Ave
New York, NY 10033
Phone (718) 664-7679

521 W 181st St
New York, NY 10033
Phone (212) 281-9472

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: cecilia.calderon@cgm.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1427118140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 BOSTON RD",
            "address_2": "SUITE 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563602",
            "telephone_number": "718-569-7929",
            "fax_number": "347-590-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 BOSTON RD",
            "address_2": "SUITE 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563602",
            "telephone_number": "718-569-7929",
            "fax_number": "347-590-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "CECILIA",
        "middle_name": "GRISELDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "255626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02932589",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "255626",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.