Active NPI
Susanna Colella
- Pharmacist
- Glen Cove, NY
National Provider Identifier
1881874246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 049608
- Practice address
- 225 Forest Ave
Glen Cove, NY 11542-2028 - Phone
- (516) 759-1201
- Fax
- (516) 759-7861
- NPI assigned
- Nov 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 049608 | NY | Primary |
Addresses
Primary practice location
225 Forest Ave
Glen Cove, NY 11542-2028
Mailing address
225 Forest Ave
Glen Cove, NY 11542-2028
Phone (516) 759-1201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01441092 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049608 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1881874246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 FOREST AVE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422028",
"telephone_number": "516-759-1201",
"fax_number": "516-759-7861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 FOREST AVE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422028",
"telephone_number": "516-759-1201",
"fax_number": "516-759-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLELLA",
"first_name": "SUSANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-13",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "049608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01441092",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.