Individual provider Active NPI

Colleen Mary Anastasio

  • Family Nurse Practitioner
  • Manalapan, NJ
National Provider Identifier
1306403282
Registry record updated May 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00857800 Issued in NJ
Practice address
300 Craig Rd Ste 102
Manalapan, NJ 07726-8742
Phone
(732) 780-8671
NPI assigned
May 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00857800 NJ Primary

Addresses

Primary practice location

300 Craig Rd Ste 102
Manalapan, NJ 07726-8742

Mailing address

300 Craig Rd Ste 102
Manalapan, NJ 07726-8742
Phone (732) 780-8671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20190726000218 NJ Practitioner - Nurse Practitioner 8022344167 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Service Fund of Deborah Heart and Lung CenterGroup PAC ID 4284537499, 118 clinicians
Deborah Cardiovascular Group, P.C.Group PAC ID 7618962549, 40 clinicians
NJ Acute Care Specialists Professional CorporationGroup PAC ID 3678742269, 55 clinicians

Practice addresses (Care Compare)

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

901 W Main St
Freehold, NJ 07728-2537
Phone (973) 831-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Health Infusions LLC CurrentSince Apr 1, 2020 Accepting new patients
Deborah Cardiovascular Group, P.C. CurrentSince Jun 1, 2025 Accepting new patients
NJ Acute Care Specialists Professional Corporation CurrentSince Oct 1, 2023 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Feb 24, 2025 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

714 W White Horse Pike
#B
Egg Harbor City, NJ 08215
Phone (609) 404-9477

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

300 Craig Rd
Ste 102
Manalapan, NJ 07726
Phone (732) 780-8671

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

599 Route 37 W
Toms River, NJ 08755
Phone (732) 269-1133

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4
  • Direct secure messaging: canastasio424959@direct.ahsys.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558742400000",
    "number": "1306403282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CRAIG RD STE 102",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268742",
            "telephone_number": "732-780-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CRAIG RD STE 102",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268742",
            "telephone_number": "732-780-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANASTASIO",
        "first_name": "COLLEEN",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-25",
        "last_updated": "2019-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00857800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.