Individual provider Active NPI

Stephen F Calderon, M.D.

  • Specialist
  • Bloomfield, CT
National Provider Identifier
1699716183
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
028908 Issued in CT
Practice address
701 Cottage Grove Rd Ste E010
Bloomfield, CT 06002-4224
Phone
(860) 241-4835
Fax
(860) 244-3516
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 028908 CT Primary

Addresses

Primary practice location

701 Cottage Grove Rd Ste E010
Bloomfield, CT 06002-4224

Mailing address

701 Cottage Grove Rd Ste E010
Bloomfield, CT 06002-4224
Phone (860) 241-4835

Other identifiers 1

IdentifierTypeStateIssuer
004001442MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080513000301 CT Practitioner - Neurosurgery 1052480373

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen F Calderon MD PC CurrentSince Jan 1, 2008 Accepting new patients
Howard Lantner MD PC CurrentSince Mar 24, 2024 Accepting new patients

Locations

701 Cottage Grove Rd
Ste E010
Bloomfield, CT 06002
Phone (860) 522-7121

704 Hebron Ave
Ste 103
Glastonbury, CT 06033
Phone (860) 247-3279

1000 Asylum Ave
Ste 3208
Hartford, CT 06105
Phone (860) 522-7121

Organizations & group practices 2

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1699716183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE E010",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060024224",
            "telephone_number": "860-241-4835",
            "fax_number": "860-244-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE E010",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060024224",
            "telephone_number": "860-241-4835",
            "fax_number": "860-244-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "028908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004001442",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.