Individual provider Active NPI

Jennifer N Colon, LPN

  • Licensed Practical Nurse
  • Farmingdale, NY
National Provider Identifier
1578377966
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
346190 Issued in NY
Practice address
110 Bi County Blvd
Farmingdale, NY 11735-3943
Phone
(917) 000-0000
NPI assigned
Feb 5, 2025
Reactivated
Sep 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 346190 NY Primary

Addresses

Primary practice location

110 Bi County Blvd
Farmingdale, NY 11735-3943

Mailing address

110 Bi County Blvd
Farmingdale, NY 11735-3943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1578377966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BI COUNTY BLVD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BI COUNTY BLVD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353943",
            "telephone_number": "917-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "deactivation_date": "2025-12-22",
        "reactivation_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "346190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.