Individual provider Active NPI

Steven J Colon

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1568085355
Registry record updated Feb 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
101.0134751 Issued in VT
Practice address
221 E 106TH St Apt 18E
New York, NY 10029-4084
Phone
(917) 755-7528
NPI assigned
May 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 706043 NY
Registered Nurse 163W00000X 026.0142843 VT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0134751 VT Primary

Addresses

Primary practice location

221 E 106TH St Apt 18E
New York, NY 10029-4084

Mailing address

123 Poocham Rd
West Chesterfield, NH 03466-3517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20210315001376 VT Practitioner - Nurse Practitioner 7719393834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Hospital Inc.Group PAC ID 6507760337, shared by 4 NPIs, 63 clinicians

Practice addresses (Care Compare)

25 Ridgewood Rd
Springfield, VT 05156-3050
Phone (802) 885-2151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
706043NYMDRegistered Nurse
026.0142843VTMDRegistered Nurse
101.0134751VTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Hospital Inc. CurrentSince Apr 13, 2024 Accepting new patients
Springfield Hospital CurrentSince Nov 1, 2023 Accepting new patients
Springfield Hospital Inc Current Accepting new patients
Springfield Hospital .Inc CurrentSince Nov 1, 2023 Accepting new patients

Locations

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Organizations & group practices 4

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613260800000",
    "number": "1568085355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 POOCHAM RD",
            "city": "WEST CHESTERFIELD",
            "state": "NH",
            "postal_code": "034663517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E 106TH ST APT 18E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294084",
            "telephone_number": "917-755-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "STEVEN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "706043",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "026.0142843",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0134751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.