Active NPI
Erica Colavito, PA-C
- Physician Assistant
- Hazlet, NJ
National Provider Identifier
1295201465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00487200
- Practice address
- 233 Middle Rd
Hazlet, NJ 07730-1957 - Phone
- (732) 335-0900
- NPI assigned
- Oct 15, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00487200 | NJ | Primary |
Addresses
Primary practice location
233 Middle Rd
Hazlet, NJ 07730-1957
Mailing address
41 Wallace Rd
Middletown, NJ 07748-2926
Phone (732) 299-9294
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00487200 | NJ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1295201465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 WALLACE RD",
"city": "MIDDLETOWN",
"state": "NJ",
"postal_code": "077482926",
"telephone_number": "732-299-9294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 MIDDLE RD",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301957",
"telephone_number": "732-335-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLAVITO",
"first_name": "ERICA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-15",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00487200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.