Individual provider Active NPI

Elizabeth Coll, NP

  • Nurse Practitioner
  • Clifton, NJ
National Provider Identifier
1841293024
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NO10619800 Issued in NJ
Practice address
905 Allwood Rd
Suite 204
Clifton, NJ 07012-1945
Phone
(973) 778-6676
Fax
(973) 778-2666
NPI assigned
May 23, 2005
Last updated
Sep 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NO10619800 NJ Primary

Addresses

Primary practice location

905 Allwood Rd
Suite 204
Clifton, NJ 07012-1945

Mailing address

29 Beech Rd
Glen Rock, NJ 07452-1501
Phone (201) 689-7357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000190 NJ Practitioner - Nurse Practitioner 1557328523 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CCG Medical Group LLCGroup PAC ID 0648640680, shared by 2 NPIs, 24 clinicians

Practice addresses (Care Compare)

433 Central Ave
Westfield, NJ 07090-2520
Phone (973) 759-9000

Merit-based Incentive Payment System (MIPS)

Final score
77.56 of 100Reported as group
Quality
40.5
Promoting interoperability
93
Improvement activities
40
Cost
73.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John a. Chuback, MD, LLC CurrentSince May 16, 2023 Accepting new patients
CCG Medical Group LLC CurrentSince May 1, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Aug 2, 2024 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Oct 15, 2024 Accepting new patients
CCG Medical Group LLC CurrentSince May 1, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Aug 2, 2024 Accepting new patients
Northern Valley Anesthesiology, P.a. Past Accepting new patients
Access Medicine NJ Past Accepting new patients
St Marys General Medical Group PC Past Accepting new patients
General and Vascular Surgical Associates of North Jersey, P.a. Past Accepting new patients
David E. Cohen, MD, LLC Past Accepting new patients
Cardiovascular Care Group PC Past Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

349 E Northfield Rd
Ste 202
Livingston, NJ 07039
Phone (973) 251-2055

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

95 Madison Ave
Ste 109
Morristown, NJ 07960
Phone (973) 538-8336

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
#L4
Newark, NJ 07112
Phone (973) 926-7154

228 Lafayette St
Fl 5
Newark, NJ 07105
Phone (973) 491-5222

205 Robin Rd
Ste 333
Paramus, NJ 07652
Phone (201) 261-1772

788 Broad St
Shrewsbury, NJ 07702

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

673 Morris Ave
Ste 201
Springfield, NJ 07081
Phone (212) 241-2087

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

433 Central Ave
Westfield, NJ 07090

433 Central Ave
Fl 2
Westfield, NJ 07090
Phone (973) 302-8700

Organizations & group practices 12

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1841293024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BEECH RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521501",
            "telephone_number": "201-689-7357",
            "fax_number": "973-778-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ALLWOOD RD",
            "address_2": "SUITE 204",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121945",
            "telephone_number": "973-778-6676",
            "fax_number": "973-778-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLL",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NO10619800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.