Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ronn Mateo Callada

Individual provider Adult Health Nurse Practitioner · NPI 1083082119

Ronn Mateo Callada is a Nurse Practitioner in New York, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2013, 13 years ago. Practices with Memorial Solid Tumor Group, a 236-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
13
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

298 5th Ave Fourth Fl
New York, NY 10001-4522
Phone: (646) 779-4311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 306620 (NY)

Record details

NPI number1083082119
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 6, 2015
Last updated in NPPESJanuary 12, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Memorial Solid Tumor Group — 236 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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