Individual provider Active NPI

Kristine Colleluori, RPA-C

  • Physician Assistant
  • Huntington, NY
National Provider Identifier
1285890285
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
007666-1 Issued in NY
Practice address
25 E Carver St
Huntington, NY 11743-3409
Phone
(631) 424-1887
Fax
(631) 760-2000
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 007666-1 NY Primary

Addresses

Primary practice location

25 E Carver St
Huntington, NY 11743-3409

Mailing address

25 E Carver St
Huntington, NY 11743-3409
Phone (631) 424-1887

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
I20040708001516 NY Practitioner - Physician Assistant 2062490881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph M Capo MD PCGroup PAC ID 7911899562, 13 clinicians

Practice addresses (Care Compare)

2870 Hempstead Tpke
Levittown, NY 11756-1341
Phone (516) 731-6644

333 Glen Head Rd
Suite 110
Glen Head, NY 11545-1960
Phone (516) 671-5511

Merit-based Incentive Payment System (MIPS)

Final score
83.22 of 100Reported as group
Quality
66.44
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007666-1NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph M Capo MD PC CurrentSince Aug 20, 2024 Accepting new patients
Long Island Otolaryngology and Pediatric Airway, PC PastSince Dec 23, 2009 Accepting new patients
Island Hearing & Balance Center LLC PastSince Mar 18, 2026 Accepting new patients

Locations

333 Glen Head Rd
Ste 110
Glen Head, NY 11545
Phone (516) 671-5511

2870 Hempstead Tpke
Ste 203
Levittown, NY 11756
Phone (516) 671-5511

2870 Hempstead Tpke
Fl 2
Levittown, NY 11756
Phone (516) 731-6644

165 N Village Ave
Ste 117
Rockville Ctr, NY 11570
Phone (516) 764-1055

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.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1285890285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E CARVER ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433409",
            "telephone_number": "631-424-1887",
            "fax_number": "631-760-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E CARVER ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433409",
            "telephone_number": "631-424-1887",
            "fax_number": "631-760-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLELUORI",
        "first_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007666-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.