Individual provider Active NPI

Christina Kolade, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Bridgeport, CT
National Provider Identifier
1275608879
Registry record updated Aug 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
042947 Issued in CT
Practice address
4675 Main St
Bridgeport, CT 06606-1813
Phone
(203) 344-0025
Fax
(203) 374-7515
NPI assigned
Nov 21, 2006
Last updated
Aug 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042947 CT
Addiction Medicine (Family Medicine) Physician 207QA0401X 042947 CT Primary

Addresses

Primary practice location

4675 Main St
Bridgeport, CT 06606-1813

Mailing address

4675 Main St
Bridgeport, CT 06606-1813
Phone (203) 344-0025

Other practice location 1

311 East St
New Haven, CT 06511-5838
Phone (203) 344-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042947CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Era Rehabilitation Center, Inc Addiction Medicine Current Accepting new patients
Hygeia Health Family Medicine CurrentSince Sep 6, 2024 Accepting new patients
New Era Rehabilitation Center, Inc. CurrentSince Apr 11, 2021 Accepting new patients

Locations

3851 Main St
Bridgeport, CT 06606
Phone (203) 372-3333

3851 Main St
Fl 2
Bridgeport, CT 06606
Phone (203) 372-3333

4675 Main St
Bridgeport, CT 06606
Phone (203) 374-6103

311 East St
New Haven, CT 06511
Phone (203) 344-0025

150 Medical Way
Ste A
Riverdale, GA 30274
Phone (203) 346-1904

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1275608879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061813",
            "telephone_number": "203-344-0025",
            "fax_number": "203-374-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061813",
            "telephone_number": "203-344-0025",
            "fax_number": "203-374-7515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 East St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065115838",
            "country_code": "US",
            "telephone_number": "203-344-0025",
            "fax_number": "203-562-2102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLADE",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "042947",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CT",
            "license": "042947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2025; 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.