Individual provider Active NPI

Joseph Patrick Colagreco, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1538253109
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
300649 Issued in NY
Practice address
1230 York Ave
New York, NY 10065-6307
Phone
(917) 821-1763
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 267499 MA
Adult Health Nurse Practitioner 363LA2200X 300649 NY Primary

Addresses

Primary practice location

1230 York Ave
New York, NY 10065-6307

Mailing address

PO Box 231385
New York, NY 10023-0024
Phone (917) 821-1763

Other practice location 1

110 Francis Street
Suite 4A
Boston, MA 02215
Phone (617) 632-8994

Other practice location 2

1305 York Ave Fl 4
New York, NY 10021-5663
Phone (646) 962-5483

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL jcolagreco@rockefeller.edu
Other URL jcolagreco@rockefeller.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180515001681 NY Practitioner - Nurse Practitioner 2961638663 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
300649NYMDLicensed Practical Nurse
267499MAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Jun 11, 2018 Accepting new patients
Weill Medical College of Cornell CurrentSince Jun 11, 2018 Accepting new patients

Locations

1305 York Ave
Fl 4
New York, NY 10021
Phone (646) 962-4000

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Gpo 5907
New York, NY 10087

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1538253109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231385",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100230024",
            "telephone_number": "917-821-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656307",
            "telephone_number": "917-821-1763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Francis Street",
            "address_2": "Suite 4A",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02215",
            "country_code": "US",
            "telephone_number": "617-632-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 York Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100215663",
            "country_code": "US",
            "telephone_number": "646-962-5483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLAGRECO",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "267499",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "300649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jcolagreco@rockefeller.edu",
            "affiliation": "N",
            "address_1": "1230 York Avenue",
            "address_2": "Weiss Building, 9th Floor",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jcolagreco@rockefeller.edu",
            "affiliation": "N",
            "address_1": "1230 York Avenue",
            "address_2": "Weiss Building, 9th Floor",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.