Provider Demographics
NPI:1851334361
Name:CALERO-BAI, ROSARIO
Entity Type:Individual
Prefix:DR
First Name:ROSARIO
Middle Name:
Last Name:CALERO-BAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 EMERALD WOODS CT
Mailing Address - Street 2:
Mailing Address - City:UPPER SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-1860
Mailing Address - Country:US
Mailing Address - Phone:201-825-0166
Mailing Address - Fax:
Practice Address - Street 1:535 HIGH MOUNTAIN RD
Practice Address - Street 2:SUITE 106
Practice Address - City:NORTH HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-2665
Practice Address - Country:US
Practice Address - Phone:973-304-2020
Practice Address - Fax:973-304-2012
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05505700208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF12291Medicare UPIN