Active NPI
Colleen Nersita, APN
- Obstetrics & Gynecology Nurse Practitioner
- West Orange, NJ
National Provider Identifier
1447403639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 26NJ00055100
- Practice address
- 101 Old Short Hills Rd
Suite 410
West Orange, NJ 07052-1000 - Phone
- (973) 736-1100
- Fax
- (973) 736-1834
- NPI assigned
- Oct 31, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 26NJ00055100 | NJ | Primary |
Addresses
Primary practice location
101 Old Short Hills Rd
Suite 410
West Orange, NJ 07052-1000
Mailing address
101 Old Short Hills Rd
Suite 410
West Orange, NJ 07052-1000
Phone (973) 736-1100
Other names 1
- Colleen Demartinis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00055100 | NJ | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah R. Spey, LLC | Past | Accepting new patients | |
| Rubino OB GYN Group PA | Past | Accepting new patients |
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.
-
- Specialist
- West Orange, NJ
- NPI 1962507327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1447403639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 OLD SHORT HILLS RD",
"address_2": "SUITE 410",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521000",
"telephone_number": "973-736-1100",
"fax_number": "973-736-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 OLD SHORT HILLS RD",
"address_2": "SUITE 410",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521000",
"telephone_number": "973-736-1100",
"fax_number": "973-736-1834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERSITA",
"first_name": "COLLEEN",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-31",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NJ",
"license": "26NJ00055100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "DEMARTINIS",
"credential": "APN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.