DR. DIANE P CALELLO (NPI# 1821018334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821018334 |
| Entity Type | Individual |
| Full Name | DR. DIANE P CALELLO |
| Credential | MD |
| Practice Address |
140 Bergen St Suite G1600 Newark NJ 07103-2425 |
| Practice Telephone | 9739729280 |
| Mailing Telephone | 9739729280 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2017-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
25MA08309900 | NJ | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD074333 | PA | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
MD074333 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001955183 | 05 | |
| NJ | 0003727 | 05 |
| Street Address |
140 BERGEN ST SUITE G1600 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891721668 | Bernadette Marion Cracchiolo | Obstetrics & Gynecology | 140 Bergen St, Acc Level C, Newark, NJ 07103-2425 | 2006-06-24 |
| 1871190140 | University Hospital | Podiatrist | 140 Bergen St, Newark, NJ 07103-2425 | 2020-10-08 |
| 1972159234 | University Ob/gyn Associates (om) | Obstetrics & Gynecology | 140 Bergen St, Newark, NJ 07103-2425 | 2019-08-13 |
| 1578119012 | Naji Madi | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2019-08-12 |
| 1265992416 | Mary Elias | Nurse Practitioner | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-22 |
| 1275092124 | Andrew Reid Leggett | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-19 |
| 1023576238 | Anh Nguyen | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-06 |
| 1699201145 | John Cece | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Ambulatory Care Center E1620, Newark, NJ 07103-2425 | 2017-05-03 |
| 1932634250 | Di Bai | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2017-04-24 |
| 1568995009 | Chrystal Yin Chang | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Ambulatory Care Center G1680, Newark, NJ 07103-2425 | 2017-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912211277 | Virteeka Sinha | Emergency Medicine | 185 S Orange Ave, Newark, NJ 07103-2757 | 2010-07-28 |
| 1164547360 | John Bickford | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112 | 2007-03-20 |
| 1508872631 | Adam Sivitz | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2006-07-31 |
| 1528036787 | Samir Vinodkumar Joshi | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023351079 | Caroline O Black | Emergency Medicine | Pediatric Emergency Department, 30 Prospect Ave, Hackensack, NJ 07601-0760 | 2013-03-28 |
| 1922491547 | Hussain Shakir | Emergency Medicine | 254 Easton Ave, Department of Pediatrics, New Brunswick, NJ 08901-1766 | 2015-03-05 |
| 1235422171 | Mihir Vyas | Emergency Medicine | 100 Madison Ave, Morristown, NJ 07960-6136 | 2011-05-25 |
| 1417188772 | Ursula Laskowski-kos | Emergency Medicine | 100 Madison Ave, Morristown, NJ 07960-6136 | 2009-08-05 |
| 1669616595 | Alexander Paul Materna | Emergency Medicine | 1 Hamilton Health Pl, Hamilton, NJ 08690-3542 | 2009-04-22 |
| 1558536920 | Elisabeth Fishbein | Emergency Medicine | 350 Engle Street, Englewood, NJ 07631 | 2008-04-28 |
| 1467640458 | Lisa A Drago | Emergency Medicine | 1 Cooper Plz, Cooper University Emergency Physicians, Camden, NJ 08103-1461 | 2007-10-04 |
| 1174646244 | Trinitas Emergency Solutions PC | Emergency Medicine | 225 Williamson St, Elizabeth, NJ 07207 | 2007-04-06 |
| 1942330980 | Jeffrey A. Seiden | Emergency Medicine | 100 Bowman Dr, Chop Care Network At Virtua Voorhees Hospital, Voorhees, NJ 08043-9612 | 2007-03-07 |
| 1659416360 | Liesl Pia Iledan | Emergency Medicine | 99 Route 37 W, Toms River, NJ 08755-6423 | 2007-02-20 |
| Find all providers with the same taxonomy | ||||
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| 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.