Active NPI
Christine M Colacino, N.P.
- Nurse Practitioner
- Huntington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F301632-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301632 | NY | MD | Psychiatry Physician |
| F301632-1 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Urgent Care, PLLC | Current | Accepting new patients | |
| Brookview Medical Associates, PLLC | Nurse Practitioner | Current | 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.
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Jericho, NY
- NPI 1285975797
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.