Organization Active NPI

Miguel Calimano MD PC

  • Psychiatry Physician
  • Smithtown, NY
National Provider Identifier
1912417106
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
238218 Issued in NY
Legal business name
MIGUEL CALIMANO MD PC
Practice address
88 Terry Rd # 7
Smithtown, NY 11787-3811
Phone
(631) 926-5682
Fax
(631) 406-7241
NPI assigned
Oct 3, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Miguel Calimano, MDNPI 1912921214
Title
President
Phone
(631) 926-5692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 238218 NY Primary
Addiction Psychiatry Physician 2084P0802X 238218 NY

Addresses

Primary practice location

88 Terry Rd # 7
Smithtown, NY 11787-3811

Mailing address

88 Terry Rd # 7
Smithtown, NY 11787-3811
Phone (631) 926-5682

Other practice location 1

161 E Main St
Smithtown, NY 11787-2879
Phone (631) 360-7578

Other identifiers 1

IdentifierTypeStateIssuer
02979844MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180425001362 NY Part B Supplier - Clinic/Group Practice 2365706462 Receives reassigned benefits from 1 practitioner
Practice locations: Smithtown, NY

National Provider Directory

National Provider Directory

Locations

2 Brooksite Dr
Ste 130
Smithtown, NY 11787
Phone (631) 914-2811

88 Terry Rd
#7
Smithtown, NY 11787
Phone (631) 926-5682

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1912417106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 TERRY RD # 7",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873811",
            "telephone_number": "631-926-5682",
            "fax_number": "631-406-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 TERRY RD # 7",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873811",
            "telephone_number": "631-926-5682",
            "fax_number": "631-406-7241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 E Main St",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117872879",
            "country_code": "US",
            "telephone_number": "631-360-7578",
            "fax_number": "631-360-7687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIGUEL CALIMANO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CALIMANO",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-926-5692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "238218",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "238218",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02979844",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.