Jamila Collymore

Primary specialty

SpecialistTaxonomy code 174400000X

License

803613131 Issued in NY

Practice address

3461 Fish Ave
Apt 1C
Bronx, NY 10469

Phone

(347) 671-3522

NPI assigned

Feb 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1326463811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 FISH AVE",
            "address_2": "APT 1C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692255",
            "telephone_number": "347-671-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 FISH AVE",
            "address_2": "APT 1C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10469",
            "telephone_number": "347-671-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLYMORE",
        "first_name": "JAMILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "803613131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nilijah Adia Collins
• Stanton Keith Collins, M.D.
• Terrence Collins
• Yvonne Collins
• David C Collymore, MD
• Latoya Collymore
• Wavenie Collymore, RN
• Mariana Eugenia Colmenares
• Rodika Coloka-Kump, DO
• Marguerite Rosemarie Colombo, RN BSN

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.