Individual provider Active NPI

Frank E. Colabella, DPM, MS

  • Podiatrist
  • Fair Lawn, NJ
National Provider Identifier
1023181195
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD002165 Issued in NJ
Practice address
23-00 Route 208 Ste 2-6
Fair Lawn, NJ 07410-1558
Phone
(201) 773-0909
Fax
(908) 281-9209
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 005052 NY
Podiatrist 213E00000X MD002165 NJ Primary

Addresses

Primary practice location

23-00 Route 208 Ste 2-6
Fair Lawn, NJ 07410-1558

Mailing address

57 Taurus Dr Unit 4a
Hillsborough, NJ 08844-5071
Phone (908) 285-3217

Other identifiers 1

IdentifierTypeStateIssuer
6177204MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060428000594 NJ Practitioner - Podiatry 5395755771 Reassigns benefits to 2 organizations
Practice locations: Fair Lawn, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MD002165NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Foot & Ankle Centers, P.C. Podiatrist CurrentSince Mar 14, 2025 Accepting new patients
BGHM International Inc CurrentSince Aug 10, 2025 Accepting new patients
Functional Health PC PastSince Apr 10, 2019 Accepting new patients
Ron L. Wawrzyniak D.C. P.a. Past Accepting new patients
Crosstown Clinics LLC Podiatrist Past Accepting new patients
Fair Lawn Spine & Injury Center, LLC PastSince Aug 1, 2013 Accepting new patients

Locations

550 Kinderkamack Rd
Ste 201
Oradell, NJ 07649
Phone (201) 261-9445

400 Old Hook Rd
Westwood, NJ 07675
Phone (201) 261-9445

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1023181195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 TAURUS DR UNIT 4A",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088445071",
            "telephone_number": "908-285-3217",
            "fax_number": "908-281-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-00 ROUTE 208 STE 2-6",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101558",
            "telephone_number": "201-773-0909",
            "fax_number": "908-281-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLABELLA",
        "first_name": "FRANK",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DPM, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005052",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD002165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6177204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.