Individual provider Active NPI

Deannon Colon, MD

  • Primary Care Clinic/Center
  • New Brunswick, NJ
National Provider Identifier
1093065542
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Practice address
277 George St
New Brunswick, NJ 08901-1311
Phone
(732) 235-6700
NPI assigned
Sep 12, 2012
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09616800 NJ
Adult Medicine Physician 207QA0505X 25MA09616800 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

277 George St
New Brunswick, NJ 08901-1311

Mailing address

277 George St
New Brunswick, NJ 08901-1311
Phone (732) 235-6700

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150925002116 NJ Practitioner - Family Practice 1759699671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Somerset St
New Brunswick, NJ 08901-3638
Phone (732) 235-6700

123 Church St
New Brunswick, NJ 08901-2001
Phone (732) 235-6700

277 George St
New Brunswick, NJ 08901-1311

277 George St
New Brunswick, NJ 08901-1476
Phone (732) 235-6700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Feb 1, 2021 Accepting new patients
Rutgers RWJ Eric B. Chandler Health Center CurrentSince Aug 1, 2015 Accepting new patients
Rutgers RWJ Eric B. Chandler Health Center CurrentSince Aug 1, 2015 Accepting new patients
Robert Wood Johnson University Hospital, Inc Past Accepting new patients

Locations

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

1000 Somerset St
New Brunswick, NJ 08901
Phone (732) 235-6700

123 Church St
New Brunswick, NJ 08901
Phone (732) 235-2052

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

277 George St
New Brunswick, NJ 08901
Phone (732) 235-6700

277 George St
Rm 165
New Brunswick, NJ 08901

Interoperability endpoints

  • Direct secure messaging: dcolon17096@epicdirect.rwjbh.org
  • FHIR API: https://api.platform.athenahealth.com/24297/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1093065542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 GEORGE ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011311",
            "telephone_number": "732-235-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 GEORGE ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011311",
            "telephone_number": "732-235-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "DEANNON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09616800",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "25MA09616800",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.