Individual provider Active NPI

Lina Maria Calderon, MSN, NP-C

  • Family Nurse Practitioner
  • Dover, NJ
National Provider Identifier
1558876458
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00789800 Issued in NJ
Practice address
18 W Blackwell St
Dover, NJ 07801
Phone
(973) 328-3344
Fax
(973) 328-6817
NPI assigned
Dec 13, 2017
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00789800 NJ Primary

Addresses

Primary practice location

18 W Blackwell St
Dover, NJ 07801

Mailing address

18 W Blackwell St
Dover, NJ 07801-3841
Phone (973) 328-3344

Other practice location 1

2 Maple Tree Ln
Newton, NJ 07860-6818
Phone (973) 222-8045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20210511001743 NJ Practitioner - Nurse Practitioner 1850642554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Zufall Health Center, IncGroup PAC ID 2365448461, 45 clinicians
Intense Care LLCGroup PAC ID 2163860636, 2 clinicians

Practice addresses (Care Compare)

117 Seber Rd BLDG
5 Hackettstown
Hackettstown, NJ 07840-1722
Phone (973) 452-5366

125 W 7TH Ave
Roselle, NJ 07203-1939
Phone (908) 512-8191

18 W Blackwell St
Dover, NJ 07801-3841
Phone (973) 328-9100

71 4TH St
Somerville, NJ 08876-3235
Phone (908) 526-2335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intense Care LLC CurrentSince Nov 1, 2025 Accepting new patients
Zufall Health Center, Inc CurrentSince Feb 24, 2021 Accepting new patients
Zufall Health Center, Inc CurrentSince Feb 24, 2021 Accepting new patients
Ahs Hospital Corp. Past Accepting new patients
Zufall Health Center,Inc Past Accepting new patients

Locations

17 S Warren St
#0
Dover, NJ 07801

18 W Blackwell St
Dover, NJ 07801
Phone (973) 328-3344

117 Seber Rd
Bldg 5
Hackettstown, NJ 07840
Phone (908) 452-5366

95 Northfield Ave
West Orange, NJ 07052
Phone (973) 325-2266

Organizations & group practices 5

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1558876458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078013841",
            "telephone_number": "973-328-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "07801",
            "telephone_number": "973-328-3344",
            "fax_number": "973-328-6817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Maple Tree Ln",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "NJ",
            "postal_code": "078606818",
            "country_code": "US",
            "telephone_number": "973-222-8045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "LINA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MSN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00789800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NJ

Sources for this page

Verify at the official NPI Registry.