Max Colacino

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1216 Bay St
Staten Island, NY 10305-3169

Phone

(718) 982-4774

NPI assigned

Feb 5, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1851923080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 EDGEGROVE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 BAY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053169",
            "telephone_number": "718-982-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLACINO",
        "first_name": "MAX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Marie Cohen
• Farrah Cohn
• Jaime Lynn Cohn, L.M.S.W.
• Matthew Cohoe
• Marc Antony Coiro, PHARM. D.
• Toniann Coladonato
• Adisatu A Colandra, RN
• Kristen Colandrea, PMHNP
• Micaela Dana Colandreo, PT,DPT
• Daniel John Colasanto

• Peer Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.