DANIELLE CALVO MD
NPI 1356909444
Obstetrics & Gynecology in West Orange, NJ

Q: What is Danielle Calvo's NPI number?

The NPI number for Danielle Calvo is 1356909444. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Q: What is Danielle Calvo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Danielle Calvo was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 03, 2019PECOS EnrolledAccepts Medicare Assignment

375 MOUNT PLEASANT AVE STE 202, WEST ORANGE, NJ 07052(973) 731-7707(973) 669-0277 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Danielle Calvo Md NPPES

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

DANIELLE CALVO MD (NPI 1356909444) is an individual obstetrics & gynecology provider in West Orange, New Jersey, licensed in New Jersey (25MA11780200) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2019).

NPPES Registry Identity

NPI1356909444

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDANIELLE CALVOCredential: MD

Location Address375 MOUNT PLEASANT AVE STE 202West Orange, NJ 07052-2751

Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104

Phone(973) 731-7707

Fax(973) 669-0277

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2019

Enumeration DateJune 3, 2019

Last NPPES UpdateSeptember 22, 2023

NPPES CertifiedSeptember 22, 2023

✔ NPI 1356909444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NJ · 25MA11780200

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

375 MOUNT PLEASANT AVE STE 202, West Orange, NJ 07052

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Danielle Calvo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779930466

PECOS Enrollment IDI20231117001644

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.

Medicare Billing Reassignment

Medicare enrollment records show Danielle Calvo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group PA

11 mi

Multi-Specialty

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922

Reassigned Medicare billing, New Jersey enrollment
1,184 clinicians in this Medicare group

NPI 1942254347 (908) 273-4300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

24 services24 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

18 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services15 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE SELTZER MD

Obstetrics & Gynecology

375 MOUNT PLEASANT AVE STE 202
WEST ORANGE, NJ 07052

Essex County (973) 731-7707

MRS. LINDA LUISI-PURDUE MD

Obstetrics & Gynecology

375 MOUNT PLEASANT AVE STE 202
WEST ORANGE, NJ 07052

Essex County (973) 731-7707

ALEXANDRA ZISIMOS KATSOUDAS

Obstetrics & Gynecology

375 MOUNT PLEASANT AVE STE 202
WEST ORANGE, NJ 07052

Essex County (973) 731-7707

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 Danielle Calvo's NPI number?

The NPI number for Danielle Calvo is 1356909444. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Where is Danielle Calvo located?

Danielle Calvo practices at 375 Mount Pleasant Ave Ste 202, West Orange, NJ 07052. The listed phone number is (973) 731-7707.

What is Danielle Calvo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Danielle Calvo enrolled in Medicare?

Yes. Danielle Calvo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Danielle Calvo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Calvo reassigns Medicare benefits to Summit Medical Group PA (Berkeley Heights, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Danielle Calvo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danielle Calvo accept?

Health plans from Oscar Health list Danielle Calvo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Danielle Calvo was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.