MR. RAFAEL CALDERON
NPI 1194759266
Physician Assistant - Medical in Brooklyn, NY

Active since July 11, 2006PECOS Enrolled
WOODHULL MEDICAL & MENTAL HEALTH CENTER 760 BROADWAY, DEPARTMENT OF CARDIOLOGY, BROOKLYN, NY 11206(718) 963-8000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 7, 2017 (2 updates tracked since 2017).

About Mr. Rafael Calderon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RAFAEL CALDERON (NPI 1194759266) is an individual medical provider in Brooklyn, New York, licensed in New York (009837-1) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194759266
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. RAFAEL CALDERON
Location AddressWOODHULL MEDICAL & MENTAL HEALTH CENTER 760 BROADWAY, DEPARTMENT OF CARDIOLOGYBrooklyn, NY 11206
Mailing Address21-49-46 StreetAstoria, NY 11105 · (718) 726-3129
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1194759266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 009837-1
WOODHULL MEDICAL & MENTAL HEALTH CENTER 760 BROADWAY, Brooklyn, NY 11206

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Rafael Calderon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Calderon's NPI number?

The NPI number for Rafael Calderon is 1194759266. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Rafael Calderon located?

Rafael Calderon practices at Woodhull Medical & Mental Health Center 760 Broadway Department Of Cardiology, Brooklyn, NY 11206. The listed phone number is (718) 963-8000.

What is Rafael Calderon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Rafael Calderon enrolled in Medicare?

Yes. Rafael Calderon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rafael Calderon was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.