Organization Active NPI

Samantha Colon LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Manalapan, NJ
National Provider Identifier
1104508779
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SAMANTHA COLON LLC
Practice address
31 La Valley Dr
Manalapan, NJ 07726-8040
Phone
(732) 801-8312
NPI assigned
Aug 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Dr. Samantha Colon, DNP, PMHNP-BCNPI 1487136750
Title
Apn
Phone
(732) 801-8312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

31 La Valley Dr
Manalapan, NJ 07726-8040

Mailing address

31 La Valley Dr
Manalapan, NJ 07726-8040
Phone (732) 801-8312

Other names 1

  • Aries Wellness Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1104508779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LA VALLEY DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268040",
            "telephone_number": "732-801-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 LA VALLEY DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268040",
            "telephone_number": "732-801-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA COLON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "732-801-8312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aries Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.