Active NPI
Randy Colabella, R.N.
- Registered Nurse
- Commack, NY
National Provider Identifier
1831528272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 454246
- Practice address
- 9 Smiths LN
Commack, NY 11725-3510 - Phone
- (631) 543-2338
- Fax
- (631) 543-5981
- NPI assigned
- Nov 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 454246 | NY | Primary |
Addresses
Primary practice location
9 Smiths LN
Commack, NY 11725-3510
Mailing address
9 Smiths LN
Commack, NY 11725-3510
Phone (631) 543-2338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 454246 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy Association of Greater Suffolk, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Commack, NY
- NPI 1689818403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1831528272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SMITHS LN",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253510",
"telephone_number": "631-543-2338",
"fax_number": "631-543-5981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 SMITHS LN",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253510",
"telephone_number": "631-543-2338",
"fax_number": "631-543-5981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLABELLA",
"first_name": "RANDY",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-06",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "454246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
- Cognitive-Behavioral Psychology Services of Long Island PLLC
- Cohen Fashion Optical, LLC
- Shana Rae Cohen-Russo, M.A. CCC/SLP
- Cynthia Ellen Cohen, MSN, ANP-BC
- Laura Colabella
- Commack Acupuncture and Physical Therapy PLLC
- Commack Acupuncture PC
- Commack Chemist Inc
- Commack Chiropractic, PC
- Commack Comprehensive Pediatrics PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.