David Anthony Colbert, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

175534 Issued in NY

Practice address

119 5TH Ave
4TH Floor
New York, NY 10003-1007

Phone

(212) 533-8888

Fax

(212) 673-5185

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

New York Medical College, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David a Colbert MD PCGroup PAC ID 1456302199, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• David a. Colbert M.D., P.C.

  • Dermatology Physician
  • New York, NY
  • NPI 1932355732
  Medicare reassignment Care Compare group NPD
• Intergral Medical Health Wellness PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1033685011
  NPD (past) Authorized official
• Bruce E. Katz, MD, PC

  • Specialist
  • Brooklyn, NY
  • NPI 1710127675
  NPD (past)
• Bruce E. Katz, MD, PC

  • Dermatology Physician
  • Woodside, NY
  • NPI 1962682666
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790848729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 17TH ST",
            "address_2": "7N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115415",
            "telephone_number": "646-486-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 5TH AVE",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031007",
            "telephone_number": "212-533-8888",
            "fax_number": "212-673-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "175534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P369521",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NZ8686",
            "identifier": "HEALTHNET",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "67K781",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Colasurdo, PSY.D.
• Jennifer Colavito, OD
• John Michael Colavito, MD
• Alyssa Colbert
• Carmen Colbert
• Max Colbert, MD, MBA
• Donald S Colbourn, MD
• Heather Mary Colby, PA
• Kathryn A. Colby, M.D.
• Paul S Colcher, MD

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.