Active NPI
Agnes Colanta, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- P70371
- Practice address
- 1275 York Ave
Memorial Hospital for Cancer and Allied Diseases
New York, NY 10065-6007 - Phone
- (212) 639-3301
- NPI assigned
- Jan 21, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD437149 | PA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | P70371 | NY | Primary |
Addresses
Primary practice location
1275 York Ave
Memorial Hospital for Cancer and Allied Diseases
New York, NY 10065-6007
Mailing address
7261 Mercy Rd
Omaha, NE 68124-2311
Phone (402) 398-6255
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321
311 E 79TH St
2A
New York, NY 10075-0999
Phone (212) 996-6633
Hospital & facility affiliations
- Montefiore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26446 | NE | MD | Registered Nurse |
| P70371 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
| MD437149 | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Gastroenterology Associates LLP | Current | Accepting new patients | |
| Montefiore Medical Center | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Creighton University | Past | Accepting new patients | |
| Creighton University | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Alegent Creighton Clinic | Past | Accepting new patients | |
| Yorkville Medical Associates PLLC | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
311 E 79th St
#2A
New York, NY 10075
Phone (212) 996-6633
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- acolanta@montefioredirect.com
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
Anatomic Pathology & Clinical Pathology
-
- Gastroenterology Physician
- New York, NY
- NPI 1356428387
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Anesthesiology Physician
- New York, NY
- NPI 1740504679
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
-
- Allergy & Immunology (Internal Medicine) Physician
- Omaha, NE
- NPI 1295777225
Anatomic Pathology & Clinical Pathology
-
- Physical Therapist
- Omaha, NE
- NPI 1780172304
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494892800000",
"number": "1841595980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 MERCY RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242311",
"telephone_number": "402-398-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"address_2": "MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLANTA",
"first_name": "AGNES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-21",
"last_updated": "2017-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD437149",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "P70371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; 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.