Wendy Bezko Colligan, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1657-1 Issued in NY

Practice address

100 Port Washington Blvd
Roslyn, NY 11576-1353

Phone

(516) 562-6602

Fax

(516) 562-6614

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679797682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 IRIS LN",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402124",
            "telephone_number": "516-562-6602",
            "fax_number": "516-562-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761353",
            "telephone_number": "516-562-6602",
            "fax_number": "516-562-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZKO COLLIGAN",
        "first_name": "WENDY",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "1657-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew David Berke, M.D.
• Cassie Rae Berman, MSED
• Maria Rebbeca Bernstein, ANP
• Dena Berrebbi, PH.D.
• Barbra Berwald, D.D.S.
• Priti Bhushan, PA
• Karina Bibicheff, MD
• Kelly Bitran, NP
• Toniann Bligh, PA
• David Steven Blum, DDS

• All providers in Roslyn, NY
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.