Active NPI
Kristine Colleluori, RPA-C
- Physician Assistant
- Huntington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007666-1
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 66.44
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007666-1 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph M Capo MD PC | Current | Accepting new patients | |
| Long Island Otolaryngology and Pediatric Airway, PC | Past | Accepting new patients | |
| Island Hearing & Balance Center LLC | Past | 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.
-
- Otolaryngology Physician
- Levittown, NY
- NPI 1063488658
-
- Otolaryngology Physician
- Levittown, NY
- NPI 1174599765
-
- Otolaryngology Physician
- Huntington, NY
- NPI 1649419946
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.