Active NPI
Matthew E Colbert, RN
- Registered Nurse
- Syracuse, NY
National Provider Identifier
1659100196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 830344
- Practice address
- Hutchings Psychiatric Center
620 Madison St.
Syracuse, NY 13210 - Phone
- (315) 426-3600
- NPI assigned
- Aug 1, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 830344 | NY | Primary |
Addresses
Primary practice location
Hutchings Psychiatric Center
620 Madison St.
Syracuse, NY 13210
Mailing address
17 Battery Terrace
Baldwinsville, NY 13027
Phone (315) 454-2922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 830344 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1659100196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 BATTERY TERRACE",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "13027",
"telephone_number": "315-454-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HUTCHINGS PSYCHIATRIC CENTER",
"address_2": "620 MADISON ST.",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "315-426-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBERT",
"first_name": "MATTHEW",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-01",
"last_updated": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "830344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.