Giosely M Collado, RPAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

010342 Issued in NY

Practice address

3867 Broadway Lowr Level
New York, NY 10032-1505

Phone

(212) 543-3110

Fax

(212) 543-3111

NPI assigned

Jun 18, 2007

Last updated

Dec 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Giosely M Collado Former name

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

Medicare enrollment (NPD)

Enrolled

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.

• Pride Medical, PLLC

  • Primary Care Clinic/Center
  • New York, NY
  • NPI 1922214600
  Medicare reassignment

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1649475021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 BROADWAY B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321567",
            "telephone_number": "212-543-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3867 BROADWAY LOWR LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321505",
            "telephone_number": "212-543-3110",
            "fax_number": "212-543-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLADO",
        "first_name": "GIOSELY",
        "middle_name": "M",
        "credential": "RPAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIOSELY",
            "last_name": "COLLADO",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "RPAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Collado
• Antonia Collado, MSW
• Betty Collado
• Christopher Andrew Collado
• Emily Lissette Collado, LCSW
• Juan Pablo Collado, D.D.S.
• Maroli Collado, APRN
• Pedro Collado
• Glenn Collaku, PT, DPT
• Gabriella Collantes

• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.