Individual provider Active NPI

Samantha M Colon, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Red Bank, NJ
National Provider Identifier
1487136750
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00846700 Issued in NJ
Practice address
65 Mechanic St
Red Bank, NJ 07701-1869
Phone
(732) 515-5430
Fax
(732) 979-2412
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00846700 NJ Primary

Addresses

Primary practice location

65 Mechanic St
Red Bank, NJ 07701-1869

Mailing address

31 La Valley Dr
Manalapan, NJ 07726-8040
Phone (732) 801-8312

Other practice location 1

456 Glenbrook Rd Ste 11
Stamford, CT 06906-1800
Phone (732) 515-5430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181004000558 NJ Practitioner - Nurse Practitioner 4981956810 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00846700NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Colon LLC Psychiatric/Mental Health CurrentSince Dec 1, 2024 Accepting new patients
NJ Memory and Behavioral Care CurrentSince Sep 1, 2018 Accepting new patients

Locations

14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1487136750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LA VALLEY DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268040",
            "telephone_number": "732-801-8312",
            "fax_number": "732-979-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MECHANIC ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011869",
            "telephone_number": "732-515-5430",
            "fax_number": "732-979-2412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "456 Glenbrook Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069061800",
            "country_code": "US",
            "telephone_number": "732-515-5430",
            "fax_number": "732-979-2412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00846700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.