1. Home
  2. Directory
  3. New Jersey
  4. Elizabeth
  5. Nurse Practitioner
  6. NPI Profile

AMMIEL CALLUM
NPI 1467048926
Nurse Practitioner - Primary Care in Elizabeth, NJ

Active since December 17, 2020PECOS Enrolled
351 S BROAD ST APT 305, ELIZABETH, NJ 07202(718) 864-6962 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ammiel Callum NPPES

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

AMMIEL CALLUM (NPI 1467048926) is an individual primary care provider in Elizabeth, New Jersey, licensed in New York (F309810) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467048926
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameAMMIEL CALLUM
Location Address351 S BROAD ST APT 305Elizabeth, NJ 07202-5516
Mailing Address351 S Broad St Apt 305Elizabeth, NJ 07202-5516 · (718) 864-6962
Phone(718) 864-6962
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 17, 2020
NPPES CertifiedDecember 17, 2020
✔ NPI 1467048926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · F309810
351 S BROAD ST APT 305, Elizabeth, NJ 07202
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ammiel Callum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547662280
PECOS Enrollment IDI20210716002072
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 Reassignments

4

Medicare enrollment records show Ammiel Callum reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York City Health And Hospitals Corporation
6.2 mi
Skilled Nursing Facility
460 BRIELLE AVE
Staten Island, NY 10314
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1285642512 (718) 317-3261
Medical Care At Home PC
14 mi
Internal Medicine
220 E 42ND STREET, 6TH FLOOR
New York, NY 10017
  • Reassigned Medicare billing, New York enrollment
  • 78 clinicians in this Medicare group
NPI 1811138415 (212) 946-9258
New York Community Hospital Of Brooklyn Inc
14 mi
General Acute Care Hospital
2525 KINGS HWY
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
NPI 1215030697 (518) 299-1667
East Harlem Council For Human Services Inc
18 mi
Community Health
2265 3RD AVE
New York, NY 10035
  • Reassigned Medicare billing, New York enrollment
  • 40 clinicians in this Medicare group
NPI 1467486449 (212) 289-6650

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07202 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ammiel Callum's NPI number?

The NPI number for Ammiel Callum is 1467048926. It was assigned to this individual provider in the NPPES registry on December 17, 2020.

Where is Ammiel Callum located?

Ammiel Callum practices at 351 S Broad St Apt 305, Elizabeth, NJ 07202. The listed phone number is (718) 864-6962.

What is Ammiel Callum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Ammiel Callum enrolled in Medicare?

Yes. Ammiel Callum is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ammiel Callum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ammiel Callum reassigns Medicare benefits to 4 organizations: New York City Health And Hospitals Corporation (Staten Island, NY), Medical Care At Home PC (New York, NY), New York Community Hospital Of Brooklyn Inc (Brooklyn, NY) and East Harlem Council For Human Services Inc (New York, NY). Each 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 Ammiel Callum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ammiel Callum was last updated on December 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.