Individual provider Active NPI

Rosario Calero-Bai

  • Pediatrics Physician
  • North Haledon, NJ
National Provider Identifier
1851334361
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA05505700 Issued in NJ
Practice address
535 High Mountain Rd
Suite 106
North Haledon, NJ 07508-2665
Phone
(973) 304-2020
Fax
(973) 304-2012
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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 25MA05505700 NJ Primary

Addresses

Primary practice location

535 High Mountain Rd
Suite 106
North Haledon, NJ 07508-2665

Mailing address

5 Emerald Woods CT
Upper Saddle River, NJ 07458-1860
Phone (201) 825-0166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150409001464 NJ Practitioner - Pediatric Medicine 0749508489 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC Pediatrics CurrentSince Aug 1, 2016 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2016 Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

1111 Hudson St
Hoboken, NJ 07030
Phone (201) 942-9314

232 Clinton St
Hoboken, NJ 07030
Phone (201) 293-6387

714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1851334361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EMERALD WOODS CT",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581860",
            "telephone_number": "201-825-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 HIGH MOUNTAIN RD",
            "address_2": "SUITE 106",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082665",
            "telephone_number": "973-304-2020",
            "fax_number": "973-304-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALERO-BAI",
        "first_name": "ROSARIO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05505700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haledon, NJ

Sources for this page

Verify at the official NPI Registry.