1972597995 NPI number — DR. FRANCESCO CALIFANO MD

Table of content: DR. FRANCESCO CALIFANO MD (NPI 1972597995)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972597995 NPI number — DR. FRANCESCO CALIFANO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CALIFANO
Provider First Name:
FRANCESCO
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972597995
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/02/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
375 ENGLE STREET
Provider Second Line Business Mailing Address:
SECOND FLOOR
Provider Business Mailing Address City Name:
ENGLEWOOD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07631
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-871-6073
Provider Business Mailing Address Fax Number:
201-655-6159

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
350 ENGLE STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ENGLEWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07631
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-894-3322
Provider Business Practice Location Address Fax Number:
201-894-0585
Provider Enumeration Date:
09/06/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RP1001X , with the licence number:  70279 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0200X , with the licence number: 25MA07027900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 221943736 . This is a "EMPIRE BLUE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 221943736 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 01357648 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: P3615557 . This is a "OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0630155 . This is a "CIGNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 221943736 . This is a "HORIZON BLUE SHIELD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0030338 . This is a "AETNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 8326207 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2K8996 . This is a "HEALTHNET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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