RONN MATEO CALLADA


Address: 298 5th Ave, Fourth Floor, New York, NY 10001-4522
Phone: 6467794311

RONN MATEO CALLADA (NPI# 1083082119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083082119
Entity Type Individual
Full Name RONN MATEO CALLADA
Practice Address 298 5th Ave
Fourth Floor
New York
NY 10001-4522
Mailing Address 89 Hudson St
Ste 2
Hoboken
NJ 07030-5644
Practice Telephone 6467794311
Mailing Telephone 6467794311
Enumeration Date 2015-09-06
Last Update Date 2018-01-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
306620 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 298 5TH AVE
FOURTH FLOOR
City NEW YORK
State NY
Zip Code 10001-4522

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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