RICARDO M CALDERON DPT
NPI 1720310337
Specialist in Great Neck, NY

Q: What is Ricardo Calderon's NPI number?

The NPI number for Ricardo Calderon is 1720310337. It was assigned to this individual provider in the NPPES registry on February 6, 2010.

Q: What is Ricardo Calderon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Ricardo Calderon was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 February 06, 2010Accepts Medicare Assignment

57.35/100

CMS Quality Rating

475 NORTHERN BLVD, SUITE 11, GREAT NECK, NY 11021(516) 829-0030(516) 466-7723 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ricardo M Calderon Dpt NPPES

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

RICARDO M CALDERON DPT (NPI 1720310337) is an individual specialist in Great Neck, New York, licensed in New York (031343-1) and active in the NPI registry since February 2010. He is a graduate of Other (2008).

NPPES Registry Identity

NPI1720310337

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameRICARDO M CALDERONCredential: DPT

Location Address475 NORTHERN BLVD, SUITE 11Great Neck, NY 11021-4819

Mailing Address475 Northern Blvd, Suite 11Great Neck, NY 11021-4819 · (516) 829-0030 · Fax (516) 466-7723

Phone(516) 829-0030

Fax(516) 466-7723

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateFebruary 6, 2010

Last NPPES UpdateMay 10, 2016

✔ NPI 1720310337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 031343-1

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

475 NORTHERN BLVD, Great Neck, NY 11021

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ricardo M Calderon Dpt 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 ID8527190461

PECOS Enrollment IDI20100713000396

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

57.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

52.2

Improvement Activities

Other Providers at the Same Location NPPES 20

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

JUDY SKIBOLA PTA

Physical Therapy Assistant

475 NORTHERN BLVD, SUITE 11
GREAT NECK, NY 11021

Nassau County (516) 466-7720

KATHERINE SUSAN BOWLES OTR/L

Occupational Therapist

475 NORTHERN BLVD
GREAT NECK, NY 11021

Nassau County (516) 829-0030

MOHAMMED SHEHZAD SURYA PT

Physical Therapist

475 NORTHERN BLVD, SUITE 11
GREAT NECK, NY 11021

Nassau County (516) 829-0030

ALICIA BETH GROSSMAN PT

Physical Therapist

475 NORTHERN BLVD, SUITE 11
GREAT NECK, NY 11021

Nassau County (516) 829-0030

MS. JEANNETT LLAVE

Occupational Therapist

475 NORTHERN BLVD
GREAT NECK, NY 11021

Nassau County (718) 650-6230

MRS. LUZ MARINA PENA DPT

Physical Therapist

475 NORTHERN BLVD, SUITE 11
GREAT NECK, NY 11021

Nassau County (516) 829-0030

DANIEL CIBOROWSKI DPT

Physical Therapist

475 NORTHERN BLVD, SUITE 11
GREAT NECK, NY 11021

Nassau County (516) 829-0030

MIKAILA LOREN MARKEL OTR/L

Occupational Therapist

475 NORTHERN BLVD
GREAT NECK, NY 11021

Nassau County (917) 978-8497

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 Ricardo Calderon's NPI number?

The NPI number for Ricardo Calderon is 1720310337. It was assigned to this individual provider in the NPPES registry on February 6, 2010.

Where is Ricardo Calderon located?

Ricardo Calderon practices at 475 Northern Blvd Suite 11, Great Neck, NY 11021. The listed phone number is (516) 829-0030.

What is Ricardo Calderon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ricardo Calderon enrolled in Medicare?

Yes. Ricardo Calderon 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.

When was this NPI record last updated?

The NPPES record for Ricardo Calderon was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.