Colleen J Jambor, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

043666 Issued in CT

Practice address

33 Dale Road
Ste 1
Avon, CT 06001

Phone

(860) 678-1800

Fax

(508) 829-5367

NPI assigned

Jan 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1093795387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DALE ROAD",
            "address_2": "STE 1",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-678-1800",
            "fax_number": "508-829-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 DALE ROAD",
            "address_2": "STE 1",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-678-1800",
            "fax_number": "508-829-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMBOR",
        "first_name": "COLLEEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CT",
            "license": "043666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001436668",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated ABA
• Invision Medical Imaging LLC
• Caitlin Mirraye Ith
• Nancy C Jackson, OT
• Clinton Armin Jambor, M.D.
• Sohaib Jamil, M.D.
• Tessa Jano, NP
• Marcin Jaremko, M.D.
• Christiana Tieara Jefferson, LMSW
• Jennifer Dimaio, LCSW LLC

• Plastic and Reconstructive Surgery Physician in Avon, CT
• Providers in Avon, CT by specialty
• Plastic and Reconstructive Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.