1. Home
  2. Directory
  3. New Jersey
  4. Sparta
  5. Pediatrics
  6. NPI Profile

CAROL ELIZABETH CALABRESE MD
NPI 1972569671
Pediatrics in Sparta, NJ

Active since April 22, 2006PECOS Enrolled
328A SPARTA AVE, SPARTA, NJ 07871(973) 729-2197(973) 729-3653 Get Directions Write a Review

NPPES record last updated: November 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2017, May 13, 2017 (2 updates tracked since 2017).

About Carol Elizabeth Calabrese Md NPPES

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

CAROL ELIZABETH CALABRESE MD (NPI 1972569671) is an individual pediatrics provider in Sparta, New Jersey, licensed in New Jersey (MA050799) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972569671
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAROL ELIZABETH CALABRESECredential: MD
Location Address328A SPARTA AVESparta, NJ 07871
Mailing AddressLb # 7550 Po Box 95000Philadelphia, PA 19195-7550 · (844) 362-1735 · Fax (973) 290-7495
Phone(973) 729-2197
Fax(973) 729-3653
Sole ProprietorNo
Enumeration DateApril 22, 2006
Last NPPES UpdateNovember 5, 20172 updates tracked since enumeration
✔ NPI 1972569671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NJ · MA050799✔ Licensed in PA · MD044378L
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
328A SPARTA AVE, Sparta, NJ 07871
Open in Google Maps ↗

Other Identifiers 1

Medicaid089309NJ

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol Elizabeth Calabrese Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07871 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.

Other Providers at the Same Location NPPES 7

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

MRS. RENEE RODRIGUES-THOMAS NP
Nurse Practitioner (Pediatrics)
328A SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 729-2197
DR. RAYMOND PAUL DIPAOLO MD
Pediatrics
328A SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 729-2197
JOSEPH STEVEN LARENA FNP-C
Nurse Practitioner (Family)
328A SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 729-2197
DR. DENISE NOVAES M.D.
Pediatrics
328A SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 729-2197
INNA MESKIN MD
Pediatrics
328A SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 729-2197
PRIMARY CARE PARTNERS LLC
Pediatrics
328A SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 729-2197
DR. ALEXIS NICOLE CAPOZZOLI M.D.
Pediatrics
328A SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 729-2197

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 Carol Calabrese's NPI number?

The NPI number for Carol Calabrese is 1972569671. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Carol Calabrese located?

Carol Calabrese practices at 328A Sparta Ave, Sparta, NJ 07871. The listed phone number is (973) 729-2197.

What is Carol Calabrese's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carol Calabrese enrolled in Medicare?

Yes. Carol Calabrese is registered in the Medicare PECOS enrollment system.

What insurance does Carol Calabrese accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Carol Calabrese 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 Carol Calabrese was last updated on November 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.