Joann Colman, APN
Individual provider Active NPI Adult Health Nurse Practitioner · Gloucester, NJ
NPI 1457790263 · NPPES record last updated Jun 14, 2013
Key facts
- NPI
- 1457790263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 26NJ00441700 (NJ)
- Practice address
- 1017 Market St
Gloucester, NJ 08030 - Phone
- (856) 456-1042
- Fax
- (856) 456-8830
- NPI assigned
- Jun 14, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1017 Market St
Gloucester, NJ 08030-1897
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150122000877 | NJ | Practitioner - Nurse Practitioner | 3678897659 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00441700 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward L. Lundy, D.O. | Current | Accepting new patients |
Locations
1017 Market St
Gloucester Cy, NJ 08030
Phone (856) 456-1042
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00441700 | NJ | Yes |
Addresses
Primary practice location
1017 Market St
Gloucester, NJ 08030
Mailing address
1017 Market St
Gloucester, NJ 08030
Phone (856) 456-1042
Other providers in Gloucester, NJ
All providers in Gloucester, NJ · Adult Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.