Individual provider Active NPI

Anthony Calcaterra III

  • Specialist
  • Red Bank, NJ
National Provider Identifier
1497874515
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
46TR00351500 Issued in NJ
Practice address
231 Maple Ave
Red Bank, NJ 07701-1727
Phone
(732) 530-1164
Fax
(732) 530-2172
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 46TR00351500 NJ Primary

Addresses

Primary practice location

231 Maple Ave
Red Bank, NJ 07701-1727

Mailing address

231 Maple Ave
Red Bank, NJ 07701-1727
Phone (732) 530-1164

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00351500NJMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497874515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011727",
            "telephone_number": "732-530-1164",
            "fax_number": "732-530-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011727",
            "telephone_number": "732-530-1164",
            "fax_number": "732-530-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCATERRA",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "46TR00351500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

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.

Verify at the official NPI Registry.