Eileen F Colligan, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

125788 Issued in NY

Legal business name

EILEEN F COLLIGAN, MD, PC

Practice address

60 E 9TH St
Suite 134
New York, NY 10003-6403

Phone

(212) 982-5633

Fax

(212) 982-5690

NPI assigned

Sep 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Eileen F Colligan, M.D.NPI 1972599645

Title

President

Phone

(212) 982-5633

Specialties & licenses 2

Addresses

Other identifiers 6

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eileen Frances Colligan, M.D.

  • Internal Medicine Physician
  • Goshen, NY
  • NPI 1972599645
  NPD (past) Authorized official

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1306096318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E 9TH ST",
            "address_2": "SUITE 134",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036403",
            "telephone_number": "212-982-5633",
            "fax_number": "212-982-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E 9TH ST",
            "address_2": "SUITE 134",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036403",
            "telephone_number": "212-982-5633",
            "fax_number": "212-982-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN F COLLIGAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "COLLIGAN",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-982-5633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "125788",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "125788",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1972599645",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "125788",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00399284",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USCG-CERTIFICATE OF REGISTRY-MEDICAL DOCTOR",
            "identifier": "SERIAL#001120",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10507901",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MA04143100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Eiges, PHD
• Jennifer Eighmey, LMSW, CASAC
• Tori Eigner, LMSW
• Rachel Eikelboom, MD PHD
• Tehila Eilam-Stock, PHD
• Eileen K Lambroza MD PC
• Eileen M Kemether MD PC
• Eileen T Chen Medical P.C.
• Mara Elise Eilenberg Wilson, M.S.W., L.C.S.W.
• Kerrie Eilert, MA, MHC-LP

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.