Individual provider Active NPI

Spencer Adam Colden, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
National Provider Identifier
1336127497
Registry record updated Dec 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
224529 Issued in NY
Practice address
1021 Avenue Z
Brooklyn, NY 11235-5105
Phone
(917) 796-7674
Fax
(646) 368-9220
NPI assigned
Jan 8, 2006
Last updated
Dec 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 224529 NY Primary

Addresses

Primary practice location

1021 Avenue Z
Brooklyn, NY 11235-5105

Mailing address

300 E 75TH St
Apt 31a
New York, NY 10021-3375
Phone (917) 796-7674

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000312 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 5395761365 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
224529NYMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer a Colden MD PC Pain Medicine CurrentSince Sep 1, 2012 Accepting new patients
East Coast Pain Management P.C. Past Accepting new patients

Locations

1021 Avenue Z
Brooklyn, NY 11235
Phone (718) 769-7191

15011 Hillside Ave
Jamaica, NY 11432
Phone (718) 739-5778

1865 Amsterdam Ave
New York, NY 10031
Phone (212) 491-0100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419465600000",
    "number": "1336127497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 75TH ST",
            "address_2": "APT 31A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213375",
            "telephone_number": "917-796-7674",
            "fax_number": "646-368-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 AVENUE Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355105",
            "telephone_number": "917-796-7674",
            "fax_number": "646-368-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLDEN",
        "first_name": "SPENCER",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-08",
        "last_updated": "2014-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "224529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.