Active NPI
Spencer Adam Colden, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
National Provider Identifier
1336127497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 224529
- 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, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051019000312 | NY | Practitioner - Physical Medicine and Rehabilitation | 5395761365 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224529 | NY | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer a Colden MD PC | Pain Medicine | Current | 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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Jamaica, NY
- NPI 1659624336
-
- Interventional Pain Medicine Physician
- Wappingers Falls, NY
- NPI 1033391107
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.