Anna Kathryn Calderone, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MP00686600 Issued in NJ

Practice address

771 Route 70 E Ste D150
Marlton, NJ 08053-2352

Phone

(856) 596-3393

NPI assigned

Mar 30, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Connolly Dermatology Philadelphia LLC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1659976082
  Medicare reassignment
• Aesthetic Dermatology, LLC

  • Dermatology Physician
  • Marlton, NJ
  • NPI 1750449104
  NPD

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1487394193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 S 18TH ST UNIT B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461931",
            "telephone_number": "610-908-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 ROUTE 70 E STE D150",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532352",
            "telephone_number": "856-596-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERONE",
        "first_name": "ANNA",
        "middle_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MP00686600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Julie@drsandraelder.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "771 Route 70 E Ste D150",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dina Cahill, M.A.
• Michele R Caines, LCSW
• Olga Mercedes Cala Rizo, APRN, FNP-C
• Brian Calabrese, D.O.
• Tara Calafiore, PSYD
• Jean Marie Calderone, LCADC
• Barbara Reynolds Caldwell, CRNP
• Niqcardo Calhoun
• Rosemary Calio, D.C.
• Morgan Lynn Callahan, DO

• Dermatology Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.