Kelly Calleros, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

25ME00056201 Issued in NJ

Practice address

316 Eisenhower Pkwy
Suite 202
Livingston, NJ 07039-1718

Phone

(973) 716-9600

NPI assigned

Aug 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kelly.calleros@axia.eclinicaldirectplus.com

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.

• Regional Women'S Health Group, LLC

  • Obstetrics & Gynecology Physician
  • Voorhees, NJ
  • NPI 1548215536

  Midwife

  Medicare reassignment Care Compare group NPD
• Barnabas Health Medical Group PC

  • Specialist
  • Elizabeth, NJ
  • NPI 1841557246
  Medicare reassignment NPD
• Lifeline Medical Associates, LLC

  • Obstetrics & Gynecology Physician
  • Florham Park, NJ
  • NPI 1821041617
  Medicare reassignment NPD
• Barnabas Health Medical Group PC

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
  • NPI 1316772668
  NPD
• Regional Womens Health Group LLC

  • Obstetrics & Gynecology Physician
  • Phoenixville, PA
  • NPI 1750880118

  Midwife

  NPD

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

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1750790218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "610-482-4795",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 EISENHOWER PKWY",
            "address_2": "SUITE 202",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391718",
            "telephone_number": "973-716-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLEROS",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-10",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00056201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly.calleros@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "316 Eisenhower Pkwy",
            "address_2": "Suite 202",
            "city": "Livingston",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070391718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• C.O.R.E. Therapies
• Bonney D. Cai-Luo, M.D.
• Silvia Calderon, ADULT GERONTOLOGY NP
• Mark Caldwell
• Jacqueline A. Calle-Andrade, PSY.D.
• Michael Calo
• Kristin Marietta Camacho, MA OTR/L, M.ED.
• Kevin Campbell
• Cassio Campello de Menezes, LPC
• Cancer Surgery Services of Saint

• Advanced Practice Midwife in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Advanced Practice Midwife in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.