Individual provider Active NPI

Maria Faustina Calma, M.D.

  • Pediatrics Physician
  • Farmingdale, NY
National Provider Identifier
1720107840
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
193624 Issued in NY
Practice address
850 Fulton St
Suite 4
Farmingdale, NY 11735-3649
Phone
(516) 454-8525
Fax
(516) 454-8130
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 193624 NY Primary

Addresses

Primary practice location

850 Fulton St
Suite 4
Farmingdale, NY 11735-3649

Mailing address

850 Fulton St
Suite 4
Farmingdale, NY 11735-3649
Phone (516) 454-8525

Other identifiers 1

IdentifierTypeStateIssuer
1720107840MedicaidNY

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190426000378 NY Practitioner - Pediatric Medicine 6305188186 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Children'S Service, University Faculty Practice Corporatio Pediatrics CurrentSince Apr 1, 2019 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation Past Accepting new patients
Good Samaritan Hospital Medical Center Past Accepting new patients

Locations

850 Fulton St
Ste 4
Farmingdale, NY 11735
Phone (516) 454-8525

2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: maria.calma@sbcm.cernerdirect.com

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 and National Provider Directory roles.

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": "1651449600000",
    "number": "1720107840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 FULTON ST",
            "address_2": "SUITE 4",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353649",
            "telephone_number": "516-454-8525",
            "fax_number": "516-454-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 FULTON ST",
            "address_2": "SUITE 4",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353649",
            "telephone_number": "516-454-8525",
            "fax_number": "516-454-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALMA",
        "first_name": "MARIA",
        "middle_name": "FAUSTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "193624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720107840",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

Verify at the official NPI Registry.