Individual provider Active NPI

Maria E Reynoso-Calderon, MD

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1497194591
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
289348 Issued in NY
Practice address
1265 Franklin Ave
Bronx, NY 10456-3501
Phone
(718) 901-8918
NPI assigned
Jun 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 289348 NY Primary

Addresses

Primary practice location

1265 Franklin Ave
Bronx, NY 10456-3501

Mailing address

1265 Franklin Ave
Bronx, NY 10456-3501
Phone (718) 901-8918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171205002026 NY Practitioner - Psychiatry 0042577702 Reassigns benefits to 2 organizations
I20210630003080 NJ Practitioner - Psychiatry 0042577702 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289348NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System CurrentSince Oct 16, 2017 Accepting new patients
Bronxcare Health System Psychiatry CurrentSince Oct 16, 2017 Accepting new patients
Macoris Selfcare Center, LLC Psychiatry Current Accepting new patients
Hudson Co Board of Chosen Freehold Admin CurrentSince Mar 16, 2021 Accepting new patients
Health Psychiatry of New York PC Psychiatry Past Accepting new patients

Locations

595 County Ave
Secaucus, NJ 07094
Phone (201) 369-5252

1276 Fulton Ave
Fl 1
Bronx, NY 10456

1265 Franklin Ave
Bronx, NY 10456
Phone (718) 503-7700

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1276 Fulton Ave
Rm 208
Bronx, NY 10456
Phone (718) 901-8918

Networks

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

Organizations & group practices 6

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1497194591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 FRANKLIN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563501",
            "telephone_number": "718-901-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 FRANKLIN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563501",
            "telephone_number": "718-901-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSO-CALDERON",
        "first_name": "MARIA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "289348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.