Christine Colvett

Primary specialty

SpecialistTaxonomy code 174400000X

License

500921111 Issued in NY

Practice address

9801 67TH Ave
Apt 3O
Rego Park, NY 11374-4967

Phone

(914) 204-1767

NPI assigned

Jul 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1104104728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 67TH AVE",
            "address_2": "APT 3O",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113749997",
            "telephone_number": "914-204-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 67TH AVE",
            "address_2": "APT 3O",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744967",
            "telephone_number": "914-204-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVETT",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-31",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "500921111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meir S. Cohen, D.O.
• Cole Vision Corporation
• Marcia Rene Cole
• Michael Anthony Colletti, LCSW
• Colon and Rectal Surgery of Queens PLLC
• Comfort Occupational Therapy PC
• Community Internal Medicine Assoc, PC
• Community Physical Therapy
• Community Related Services
• Complete Smiles Dental PC

• Specialist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.