Individual provider · Type 1 NPI

Jessica A. Calderon, PA-C

Physician Assistant · Bohemia, NY

NPI number 1114628443 Active

Practice location

4875 Sunrise Hwy Ste 302
Bohemia, NY 11716-4630

Mailing address

740 Main Rd
Riverhead, NY 11901-5723

Other practice locations

  • 740 Main Rd, Riverhead, NY 11901-5723 · (631) 343-4184

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

5 other providers at this address

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About NPI 1114628443

Jessica A. Calderon, PA-C's National Provider Identifier is 1114628443, issued on Mar 14, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bohemia, NY. The record was last updated on Jun 17, 2026.