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NPI Code Detail

MEDICARE: JOHN ANTHONY CALIFANO M.D.

MEDICARE: JOHN ANTHONY CALIFANO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician25076OK
2208800000XUrology Physician84028SC

General Provider Information

NPI Number : 1720124381
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN ANTHONY CALIFANO M.D.
Provider Business Mailing Address
First Line : 2626 HALPERIN AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-2631
Country : US
Telephone Number : 718-618-0401
Fax Number : 374-810-8582
Provider Business Practice Location Address
First Line : 2015 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10453-4303
Country : US
Telephone Number : 718-583-7736
Fax Number : 718-537-6180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 12/11/2025

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