Individual provider Active NPI

Iris Calderon, LMSW

  • Social Worker
  • Bronx, NY
National Provider Identifier
1518105998
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
72068298 Issued in NY
Practice address
1650 Selwyn Ave Apt 7a
Bronx, NY 10457-7688
Phone
(718) 960-1069
Fax
(718) 960-1354
NPI assigned
Jan 23, 2009
Last updated
Jan 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 72068298 NY Primary

Addresses

Primary practice location

1650 Selwyn Ave Apt 7a
Bronx, NY 10457-7688

Mailing address

1650 Selwyn Ave Apt 7a
Bronx, NY 10457-7688
Phone (718) 960-1069

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000253 NY Practitioner - Clinical Social Worker 0143359406 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72068298NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System CurrentSince Mar 16, 2010 Accepting new patients
Bronxcare Health System CurrentSince Mar 16, 2010 Accepting new patients
Bronxcare Health System Past Accepting new patients

Locations

1276 Fulton Ave
#208
Bronx, NY 10456
Phone (718) 901-8911

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

1650 Selwyn Ave
Apt 7A
Bronx, NY 10457
Phone (718) 960-1069

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": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1518105998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SELWYN AVE APT 7A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577688",
            "telephone_number": "718-960-1069",
            "fax_number": "718-960-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SELWYN AVE APT 7A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577688",
            "telephone_number": "718-960-1069",
            "fax_number": "718-960-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "IRIS",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72068298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.