Active NPI
Luis Collar, M.D.
- General Practice Physician
- Tuxedo Park, NY
National Provider Identifier
1225337587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 308283
- Practice address
- 233 Route 17
Suite 207
Tuxedo Park, NY 10987-4406 - Phone
- (845) 915-3061
- NPI assigned
- Mar 24, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 308283 | NY | Primary |
Addresses
Primary practice location
233 Route 17
Suite 207
Tuxedo Park, NY 10987-4406
Mailing address
233 Route 17
Suite 207
Tuxedo Park, NY 10987-4406
Phone (845) 915-3061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1225337587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 ROUTE 17",
"address_2": "SUITE 207",
"city": "TUXEDO PARK",
"state": "NY",
"postal_code": "109874406",
"telephone_number": "845-915-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 ROUTE 17",
"address_2": "SUITE 207",
"city": "TUXEDO PARK",
"state": "NY",
"postal_code": "109874406",
"telephone_number": "845-915-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLAR",
"first_name": "LUIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-24",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "308283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuxedo Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.