Individual provider Active NPI

Pierre Collin, M.D.

  • Internal Medicine Physician
  • West Babylon, NY
National Provider Identifier
1134181282
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
177092-1 Issued in NY
Practice address
900 Straight Path
West Babylon, NY 11704-3203
Phone
(631) 957-0066
Fax
(631) 957-2701
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 177092-1 NY Primary

Addresses

Primary practice location

900 Straight Path
West Babylon, NY 11704-3203

Mailing address

900 Straight Path
West Babylon, NY 11704-3203
Phone (631) 957-0066

Other identifiers 1

IdentifierTypeStateIssuer
01177637MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018000942 NY Practitioner - Internal Medicine 1557554938 Reassigns benefits to 1 organization
Practice locations: West Babylon, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caremed Primary and Urgent Care PCGroup PAC ID 8224353727, 21 clinicians

Practice addresses (Care Compare)

900 Straight Path
West Babylon, NY 11704-3234
Phone (631) 957-0066

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caremed Primary and Urgent Care PC Internal Medicine CurrentSince Sep 15, 2016 Accepting new patients

Locations

266 Middle Country Rd
Coram, NY 11727
Phone (631) 475-3900

1 E Roe Blvd
Patchogue, NY 11772
Phone (631) 475-3900

900 Straight Path
West Babylon, NY 11704
Phone (631) 957-0066

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1134181282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STRAIGHT PATH",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117043203",
            "telephone_number": "631-957-0066",
            "fax_number": "631-957-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STRAIGHT PATH",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117043203",
            "telephone_number": "631-957-0066",
            "fax_number": "631-957-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIN",
        "first_name": "PIERRE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "177092-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01177637",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

Verify at the official NPI Registry.