Active NPI
Frank E. Colabella, DPM, MS
- Podiatrist
- Fair Lawn, NJ
National Provider Identifier
1023181195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MD002165
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6177204 | Medicaid | NJ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD002165 | NJ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Foot & Ankle Centers, P.C. | Podiatrist | Current | Accepting new patients |
| BGHM International Inc | Current | Accepting new patients | |
| Functional Health PC | Past | 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 | Past | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Oradell, NJ
- NPI 1316738560
-
- Podiatrist
- Oradell, NJ
- NPI 1255361515
-
- Podiatrist
- Peachtree City, GA
- NPI 1881178846
-
- Rehabilitation Chiropractor
- Fair Lawn, NJ
- NPI 1952611410
-
- Medical Specialty Clinic/Center
- Somerville, NJ
- NPI 1467890970
-
- Clinic/Center
- Somerville, NJ
- NPI 1790027407
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.