Active NPI
Jeremy Huston Colley, M.D.
- Forensic Psychiatry Physician
- New York, NY
National Provider Identifier
1902943129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- 230854
- Practice address
- 841 Broadway
Suite 302
New York, NY 10003-4704 - Phone
- (888) 544-9215
- Fax
- (212) 677-2285
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 230854 | NY | Primary |
| Psychiatry Physician | 2084P0800X | 230854 | NY |
Addresses
Primary practice location
841 Broadway
Suite 302
New York, NY 10003-4704
Mailing address
841 Broadway
Suite 302
New York, NY 10003-4704
Phone (888) 544-9215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 17, 2015 through Aug 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108090 | CA | MD | Marriage & Family Therapist |
| 230854 | NY | MD | Psychiatry Physician |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jcolley674159@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1902943129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 BROADWAY",
"address_2": "SUITE 302",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034704",
"telephone_number": "888-544-9215",
"fax_number": "212-677-2285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 BROADWAY",
"address_2": "SUITE 302",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034704",
"telephone_number": "888-544-9215",
"fax_number": "212-677-2285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLEY",
"first_name": "JEREMY",
"middle_name": "HUSTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "NY",
"license": "230854",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "230854",
"primary": false
}
],
"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 Sep 11, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.