Individual provider Active NPI

Matthew Steven Colantoni, D.O.

  • Emergency Medicine Physician
  • Paterson, NJ
National Provider Identifier
1770840209
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB10391200 Issued in NJ
Practice address
703 Main Street
Emergency Medicine Department
Paterson, NJ 07503
Phone
(973) 754-2240
Fax
(973) 754-2249
NPI assigned
Apr 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 278883 NY
Emergency Medicine Physician 207P00000X 25MB10391200 NJ Primary

Addresses

Primary practice location

703 Main Street
Emergency Medicine Department
Paterson, NJ 07503

Mailing address

703 Main Street
Emergency Medicine Department
Paterson, NJ 07503
Phone (973) 754-2240

Other identifiers 1

IdentifierTypeStateIssuer
04134396MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150707000506 NY Practitioner - Emergency Medicine 7618289588 Reassigns benefits to 2 organizations
I20181005001031 NJ Practitioner - Emergency Medicine 7618289588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians

Practice addresses (Care Compare)

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

Hospital & facility affiliations

  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB10391200NJMDEmergency Medicine Physician
278883NYMDEmergency Medicine Physician

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2015 Accepting new patients
St. Joseph'S Emergency Physicians Inc CurrentSince Sep 1, 2018 Accepting new patients
Fpa Hospital Based Current Accepting new patients
East Post Road Medical Services PC Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Hudson Valley Regional Community Health Centers Inc PastSince Nov 24, 2020 Accepting new patients

Locations

703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1770840209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MAIN STREET",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07503",
            "telephone_number": "973-754-2240",
            "fax_number": "973-754-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN STREET",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07503",
            "telephone_number": "973-754-2240",
            "fax_number": "973-754-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLANTONI",
        "first_name": "MATTHEW",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-22",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "278883",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB10391200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04134396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.