Theodorico Calica, CRNA | |
703 Main St, Paterson, NJ 07503-2621 | |
(973) 754-2790 | |
(973) 754-2791 |
Full Name | Theodorico Calica |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 29 Years |
Location | 703 Main St, Paterson, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538152673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 26NR06349700 (New Jersey) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 358166 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph's Hospital And Medical Center | Paterson, NJ | Hospital |
Hudson Regional Hospital | Secaucus, NJ | Hospital |
Trinitas Regional Medical Center | Elizabeth, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rwjbh Observation Associates Llc | 5193137503 | 639 |
North American Partners In Anesthesia Of New Jersey Llc | 5890867410 | 184 |
Canj Anesthesia Llc | 6709278740 | 24 |
Entity Name | Trinitas Anesthesia Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013988054 PECOS PAC ID: 1658278270 Enrollment ID: O20031212000657 |
Entity Name | North American Partners In Anesthesia Of New Jersey Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548433048 PECOS PAC ID: 5890867410 Enrollment ID: O20080626000318 |
Entity Name | Aztec Medical Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598392003 PECOS PAC ID: 2961820527 Enrollment ID: O20200914001418 |
Entity Name | Rwjbh Observation Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760095806 PECOS PAC ID: 5193137503 Enrollment ID: O20201209000008 |
Entity Name | Canj Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881353662 PECOS PAC ID: 6709278740 Enrollment ID: O20220124002960 |
Mailing Address | Practice Location Address |
---|---|
Theodorico Calica, CRNA 3998 Fair Ridge Dr, Suite 300, Fairfax, VA 22033-2921 Ph: (703) 295-9360 | Theodorico Calica, CRNA 703 Main St, Paterson, NJ 07503-2621 Ph: (973) 754-2790 |
Ms. Dana Fiorito, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2790 Fax: 973-754-2791 | |
Belle Woo, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 Main Street, Paterson, NJ 07503 Phone: 973-754-2000 | |
Hermann N Logang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2500 | |
Vincent Joseph Thomas, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2000 | |
Ms. Jennifer Y. Kim, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 877-757-7547 | |
Amanda Disomma, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2000 |