Colleen Williamson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02309300 Issued in NJ

Practice address

14 Grand Ave
Toms River, NJ 08753-7504

Phone

(732) 286-7000

Fax

(732) 286-4929

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 3, 2015 through Nov 3, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1154535649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 FOOTHILL CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538507",
            "telephone_number": "732-610-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 GRAND AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537504",
            "telephone_number": "732-286-7000",
            "fax_number": "732-286-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02309300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anokywaa Williams
• Arnold Williams, MD
• Kaitlyn Williams, MSW, LCSW
• Marybeth Williams, HIS
• Robert G Williams, DMD
• Kevin Willis, M.D.
• Willowglen Academy-New Jersey, Inc.
• Willowglen Academy-New Jersey, Inc.
• Conner Stephen Wilson, MD
• Gregory James Wilson, MD

• Dentist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.