Joann Colbert, P.A.-C
Individual provider Active NPI Physician Assistant · Iselin, NJ
NPI 1609905892 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609905892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 25MP00030700 (NJ)
- Practice address
- 400 Gill LN
Iselin, NJ 08830-3001 - Phone
- (732) 404-1580
- Fax
- (732) 404-1594
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110609000383 | NJ | Practitioner - Physician Assistant | 0446437917 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00030700 | NJ | Yes |
Addresses
Primary practice location
400 Gill LN
Iselin, NJ 08830-3001
Mailing address
400 Gill LN
Iselin, NJ 08830-3001
Phone (732) 404-1580
Other providers in Iselin, NJ
- Frida Chhabria
- Alexander Chiu
- Christa Brown LLC
- Maria Christoudias
- Peter Chudolij
- Carly Dana Crapanzano
- Giovanna Creighton
- Charles Lawrence Dashel
- Alina Davis
- Dana Decarlo
All providers in Iselin, NJ · Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.