Individual provider Active NPI

Colleen Claire Starczak, DPT

  • Physical Therapist
  • Ramsey, NJ
National Provider Identifier
1811260268
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01108900 Issued in NJ
Practice address
700C Lake St
Ramsey, NJ 07446-1372
Phone
(201) 962-7454
Fax
(201) 962-7455
NPI assigned
Feb 15, 2012
Last updated
Dec 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01108900 NJ Primary

Addresses

Primary practice location

700C Lake St
Ramsey, NJ 07446-1372

Mailing address

46 Chopin Dr
Wayne, NJ 07470-6202
Phone (973) 907-2585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131216000452 NJ Practitioner - Physical Therapist in Private Practice 3971730193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

46 Chopin Dr
Wayne, NJ 07470-6202
Phone (973) 908-2399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyze Physical Therapy and Pilates Physical Therapist CurrentSince Jul 27, 2020 Accepting new patients
Therapy Services of Virginia Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1811260268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CHOPIN DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706202",
            "telephone_number": "973-907-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700C LAKE ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461372",
            "telephone_number": "201-962-7454",
            "fax_number": "201-962-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARCZAK",
        "first_name": "COLLEEN",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01108900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.