Individual provider Active NPI

Sarah Colon, PA-C

  • Physician Assistant
  • Maspeth, NY
National Provider Identifier
1215782867
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5228 69TH PL
Maspeth, NY 11378-1432
Phone
(203) 432-4771
NPI assigned
Apr 18, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Medical Care PLLC 8 clinicians

Practice addresses (Care Compare)

2103 Deer Park Ave
Deer Park, NY 11729-1319

2775 Route 112
Suite B
Medford, NY 11763-2523
Phone (631) 574-2060

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250115003231 NY Practitioner - Physician Assistant 9133657307 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Medical Care Nassau PLLC PastSince Sep 6, 2015 Accepting new patients
Radiology Interpretation Technology PLLC PastSince Jan 31, 2021 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY Primary

Addresses

NPPES NPI Registry

Primary practice location

5228 69TH PL
Maspeth, NY 11378-1432

Mailing address

5228 69TH PL
Maspeth, NY 11378-1432

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2024.

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1215782867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 69TH PL",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 69TH PL",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781432",
            "telephone_number": "203-432-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

Verify at the official NPI Registry.