Christina Colombo

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

18 Longstreet Dr
Lake Grove, NY 11755-2315

Phone

(631) 662-7994

NPI assigned

Jul 25, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Christina Potter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1003369281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LONGSTREET DR",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552315",
            "telephone_number": "631-662-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LONGSTREET DR",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552315",
            "telephone_number": "631-662-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOMBO",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "POTTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• City Medical of Upper East Side PLLC
• Clifford a. Dukofsky, D.C., P.C
• Jacqueline Sommer Colalillo
• Emily Colletti, BSN, RN
• Rovena Collins, DO
• Christopher Conrad, PT
• Tiffany Cooper
• Andrea Cordova, NP
• Kelly Coulehan Crotty, PHD
• Melissa Coyle, LCSW-R

• Specialist in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.