Individual provider Active NPI

Johanna Calderon, FNP-C

  • Nursing Care Agency
  • North Bergen, NJ
National Provider Identifier
1740994243
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
26NR21947800 Issued in NJ
Practice address
9255 John F. Kennedy Blvd, North
North Bergen, NJ 07047
Phone
(201) 854-6092
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 26NR21947800 NJ Primary
Family Nurse Practitioner 363LF0000X 26NJ15443700 NJ

Addresses

Primary practice location

9255 John F. Kennedy Blvd, North
North Bergen, NJ 07047

Mailing address

9255 Kennedy Blvd
North Bergen, NJ 07047-5322
Phone (201) 854-6092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251129000530 NJ Practitioner - Nurse Practitioner 3779076674 Reassigns benefits to 1 organization
I20260610001928 NY Practitioner - Nurse Practitioner 3779076674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivx Health of New Jersey, P.C.Group PAC ID 1456898956, 13 clinicians

Practice addresses (Care Compare)

225 Allwood Rd
Unit 8
Clifton, NJ 07012-1803
Phone (973) 200-1886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR21947800NJMDNursing Care Agency
26NJ15443700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jan 15, 2023 Accepting new patients
Ivx Health of New Jersey, P.C. CurrentSince Nov 3, 2025 Accepting new patients
Walgreen Co PastSince Jan 15, 2023 Accepting new patients

Locations

338 Chimney Rock Rd
Bound Brook, NJ 08805
Phone (570) 872-9955

818 Haddonfield Rd
Ste D
Cherry Hill, NJ 08002
Phone (640) 230-7338

225 Allwood Rd
Unit 8
Clifton, NJ 07012
Phone (973) 200-1886

9255 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 303-2771

501 N Route 17
Unit 10
Paramus, NJ 07652
Phone (551) 227-2824

Organizations & group practices 4

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1740994243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9255 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475322",
            "telephone_number": "201-854-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 JOHN F. KENNEDY BLVD, NORTH",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "201-854-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "JOHANNA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NJ",
            "license": "26NR21947800",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15443700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.