Adam Edward Colandrea

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

011984 Issued in NY

Practice address

1128 Ny-17K
3
Montgomery, NY 12549

Phone

(457) 697-4028

NPI assigned

Feb 10, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back2Motion Chiropractic LLCGroup PAC ID 1355810953, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Back2Motion Chiropractic LLC

  • Chiropractor
  • Kinnelon, NJ
  • NPI 1467230888
  Medicare reassignment Care Compare group NPD Authorized official
• Dynamic Peak Physical Therapy PT Pta

  • Physical Therapist
  • Rutherford, NJ
  • NPI 1437652476

  Chiropractor

  NPD
• Carmel Medical Care P.C.

  • Specialist
  • Carmel, NY
  • NPI 1295189397
  NPD (past)

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1679805014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 E RIDGE RD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109903038",
            "telephone_number": "914-213-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 NY-17K",
            "address_2": "3",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "12549",
            "telephone_number": "457-697-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLANDREA",
        "first_name": "ADAM",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-10",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00734700",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardinal Family Medicine, PLLC
• Lynette J Caroli, R.N.
• Maureen Carroll
• Kate Gallaher Carson, RN
• Harvinder Kaur Chaudhry, M.D.
• Katrina A Cole-Bottomley, RN
• Kelly Cole, OTR
• Shannon Cole, COTA/L
• Colleen Conboy, RN
• Dolly Ann Conklin, RD

• Chiropractor in Montgomery, NY
• Providers in Montgomery, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.