Joseph Shahata Colberg

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2942 Issued in NJ

Practice address

3458 Neely Rd
JB MDL, NJ 08641-5312

Phone

(609) 754-9324

NPI assigned

Sep 4, 2025

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2025.

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1508746256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 EMBER LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3458 NEELY RD",
            "city": "JB MDL",
            "state": "NJ",
            "postal_code": "086415312",
            "telephone_number": "609-754-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHATA COLBERG",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "2942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margarita Mailander, IDMT
• Louis Joseph Marconyak Jr., D.M.D.
• Gabrielle Lorin McIntyre, APRN
• Jesse Murillo, DDS
• Elizabeth Pavlovsky
• John Robert Smith, MD
• Elaine Jamina Steele, PSYD
• Heather Ann Steelman, BSN, RN, CCM
• Patrick Andrew Stockton, CPNP-PC, RN
• Tanner Strommen, DPT

• All providers in JB MDL, NJ
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.