Philip Colaizzo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME51934 Issued in FL

Practice address

6650 W Indiantown Rd
Suite 110
Jupiter, FL 33458-4628

Phone

(561) 575-9876

Fax

(561) 575-2858

NPI assigned

Jul 12, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pcolaizzo19555@jupitermedicalcenter.direct-ci.com

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.

• Jupiter Pediatric Associates, PA

  • Pediatrics Physician
  • Jupiter, FL
  • NPI 1801821319
  NPD Authorized official
• Philip Colaizzo M.D., P.a.

  • Rural Health Clinic/Center
  • Pahokee, FL
  • NPI 1356376867

  Pediatrics

  NPD Authorized official
• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1821023334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W INDIANTOWN RD",
            "address_2": "SUITE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584628",
            "telephone_number": "561-575-9876",
            "fax_number": "561-575-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W INDIANTOWN RD",
            "address_2": "SUITE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584628",
            "telephone_number": "561-575-9876",
            "fax_number": "561-575-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAIZZO",
        "first_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME51934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047437100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11832",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meshach P Cober, M.D.
• Michelle Coes, LCMHC
• Paul Cofnas, M.D.
• Cogent Healthcare of Pensacola LLC
• Coral N Cohen, DMD
• Ashley Cole, M.A.
• James C Cole, M.D.
• Sean Thomas Coleman
• Deanne H Collier, M.D.
• Charles Michael Collins, M.D.

• Pediatrics Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.