Active NPI
Maryanne Jaqueline Colenda, MD
- Allergy & Immunology Physician
- Fort Lee, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 25MA03161600
- Practice address
- 811 Abbott Blvd
Fort Lee, NJ 07024-4101 - Phone
- (201) 224-2256
- Fax
- (201) 224-5577
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 25MA03161600 | NJ | Primary |
Addresses
Primary practice location
811 Abbott Blvd
Fort Lee, NJ 07024-4101
Mailing address
811 Abbott Blvd
Fort Lee, NJ 07024-4101
Phone (201) 224-2256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- New York Medical College, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
811 Abbott Blvd
Fort Lee, NJ 07024-4101
Phone (201) 224-2256
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Alliance Group LLC | Allergy & Immunology | Current | Accepting new patients |
| Hudson Hospital Opco LLC | Current | Accepting new patients | |
| Tri America Health & Wellness | Current | Accepting new patients |
Locations
2185 Lemoine Ave
Ste 1G
Fort Lee, NJ 07024
Phone (201) 881-9773
811 Abbott Blvd
Fort Lee, NJ 07024
Phone (201) 224-0127
Interoperability endpoints
- maryann.colenda@direct.christhospital.md
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Allergy & Immunology Physician
- Fort Lee, NJ
- NPI 1740216969
-
- Psychiatry Physician
- Fort Lee, NJ
- NPI 1487112801
-
dba Christ Hospital
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1629006143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 ABBOTT BLVD",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070244101",
"telephone_number": "201-224-2256",
"fax_number": "201-224-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 ABBOTT BLVD",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070244101",
"telephone_number": "201-224-2256",
"fax_number": "201-224-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLENDA",
"first_name": "MARYANNE",
"middle_name": "JAQUELINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NJ",
"license": "25MA03161600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.