Provider Demographics
NPI:1003841479
Name:CALDERONE, JOSEPH P JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:CALDERONE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SOUTH AVE E
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2811
Mailing Address - Country:US
Mailing Address - Phone:908-276-3030
Mailing Address - Fax:908-276-3174
Practice Address - Street 1:2 SOUTH AVE E
Practice Address - Street 2:SUITE 1
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2811
Practice Address - Country:US
Practice Address - Phone:908-276-3030
Practice Address - Fax:908-276-3174
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04312900207W00000X
NY154513-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1475606Medicaid
NJ1475606Medicaid
NJ452091N9GMedicare ID - Type Unspecified