Organization Active NPI

Ronald G. Cally, M.D., LLC

  • Pediatrics Physician
  • Ridgewood, NJ
National Provider Identifier
1629164231
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA07177000 Issued in NJ
Legal business name
RONALD G. CALLY, M.D., LLC
Practice address
1250 East Ridgewood Avenue
Ridgewood, NJ 07450
Phone
(201) 444-1133
Fax
(201) 444-4841
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Dr. Ronald G Cally, M.D.
Title
Pediatrician
Phone
(201) 444-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 25MA07177000 NJ Primary

Addresses

Primary practice location

1250 East Ridgewood Avenue
Ridgewood, NJ 07450

Mailing address

1250 East Ridgewood Avenue
Ridgewood, NJ 07450
Phone (201) 444-1133

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1629164231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 EAST RIDGEWOOD AVENUE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-444-1133",
            "fax_number": "201-444-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 EAST RIDGEWOOD AVENUE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-444-1133",
            "fax_number": "201-444-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD G. CALLY, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "CALLY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "201-444-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07177000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.