Colleen Stalter, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA11121500 Issued in NJ

Practice address

2840 Morris Ave
Union, NJ 07083-4851

Phone

(908) 588-9860

Fax

(908) 686-8791

NPI assigned

Mar 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Rutgers, Robert Woood Johnson Medical School, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Children'S Specialized HospitalGroup PAC ID 4486733243, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Children'S Specialized Hospital

  • Children's Rehabilitation Hospital
  • New Brunswick, NJ
  • NPI 1396886297

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Children' Specialized Hospital

  • Medically Fragile Infants and Children Day Care
  • Mountainside, NJ
  • NPI 1578604476
  NPD
• Childrens Specialized Hospital

  • Customized Equipment (DME)
  • Mountainside, NJ
  • NPI 1639210180
  NPD (past)

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1487150488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834851",
            "telephone_number": "908-588-9860",
            "fax_number": "908-686-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834851",
            "telephone_number": "908-588-9860",
            "fax_number": "908-686-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALTER",
        "first_name": "COLLEEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA11121500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• De Lys Eva St Hill, MD
• Guida Maria St. George, MS, PA-C
• Stampedee Transportation
• Stanley Anton P.a.
• Steady Steps ABA LLC
• Ashley Michelle Steinberger, MS, RD, CSSD
• Stephanie Tong OD

• Pediatrics Physician in Union, NJ
• Providers in Union, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.