Kate Nicole Colucci

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

49 Penn St
Port Jefferson Station, NY 11776-3807

Phone

(631) 384-5339

NPI assigned

Jun 22, 2016

Sex

Female

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1932550878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PENN ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763807",
            "telephone_number": "631-384-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PENN ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763807",
            "telephone_number": "631-384-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLUCCI",
        "first_name": "KATE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Cole
• Kyle Matthew Coleman, AGNP-C
• Colleen Jean Kalman LCSW PLLC
• Jennifer Marie Collins
• Donna Collora, PA
• Cassidy Comerford
• Community Growth Center Inc.
• Community Medical Wellness PC
• Lindsay M Como, RPAC
• Complete Chiropractic Reabilitation of Port Jefferson Station LLC

• Specialist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.