Maria Therese Colandrea, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

304400 Issued in NY

Practice address

79 Middleville Rd
Medical SVCS - 111
Northport, NY 11768-2200

Phone

(631) 261-4400

Fax

(631) 544-5315

NPI assigned

Feb 14, 2008

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1164690855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 10TH AVE",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "address_2": "MEDICAL SVCS - 111",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-261-4400",
            "fax_number": "631-544-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLANDREA",
        "first_name": "MARIA",
        "middle_name": "THERESE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Rachael Cohen, M.S.W.
• Dana Ruth Cohen, MD
• Jennifer Webster Cohen, RN
• Kenneth R Cohen, PHARMD, PH. D., RPH.
• Lois N Cohen
• Casey Marie Colon, LCSW
• Carolyn Colwell, LCSW
• Kristina Marie Combs, LCSW
• Barbara Comforto, LCSW
• Compcare Medical, P.C.

• Adult Health Nurse Practitioner in Northport, NY
• Providers in Northport, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.