Individual provider Active NPI

Christine M Colacino, N.P.

  • Nurse Practitioner
  • Huntington, NY
National Provider Identifier
1023223641
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F301632-1 Issued in NY
Practice address
West Carver Medical Associates
200 West Carver St.
Huntington, NY 11743-3303
Phone
(631) 421-0020
Fax
(631) 421-0688
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F301632-1 NY Primary

Addresses

Primary practice location

West Carver Medical Associates
200 West Carver St.
Huntington, NY 11743-3303

Mailing address

West Carver Medical Associates
200 West Carver Street
Huntington, NY 11743-3303
Phone (631) 421-0020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140703001958 NY Practitioner - Nurse Practitioner 0547485666 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
301632NYMDPsychiatry Physician
F301632-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Urgent Care, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Brookview Medical Associates, PLLC Nurse Practitioner CurrentSince Jul 12, 2024 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023223641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WEST CARVER MEDICAL ASSOCIATES",
            "address_2": "200 WEST CARVER STREET",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433303",
            "telephone_number": "631-421-0020",
            "fax_number": "631-421-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEST CARVER MEDICAL ASSOCIATES",
            "address_2": "200 WEST CARVER ST.",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433303",
            "telephone_number": "631-421-0020",
            "fax_number": "631-421-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLACINO",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F301632-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.