Individual provider Active NPI

Eddie Anthony Colon, CCT, RCP

  • Registered Respiratory Therapist
  • McGuire Afb, NJ
National Provider Identifier
1992072987
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
0117006807 Issued in VA
Practice address
2217 W Arnold Ave
514TH Asts: United States Air Force Reserves
McGuire Afb, NJ 08641
Phone
(609) 754-5643
NPI assigned
Nov 19, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 0117006807 VA Primary

Addresses

Primary practice location

2217 W Arnold Ave
514TH Asts: United States Air Force Reserves
McGuire Afb, NJ 08641

Mailing address

99 Tide Mill LN
3A
Hampton, VA 23666-2764
Phone (917) 755-3696

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

LicenseStateTypeSpecialty
0117006807VAMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1992072987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 TIDE MILL LN",
            "address_2": "3A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662764",
            "telephone_number": "917-755-3696",
            "fax_number": "757-439-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 W ARNOLD AVE",
            "address_2": "514TH ASTS: UNITED STATES AIR FORCE RESERVES",
            "city": "MCGUIRE AFB",
            "state": "NJ",
            "postal_code": "08641",
            "telephone_number": "609-754-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "EDDIE",
        "middle_name": "ANTHONY",
        "credential": "CCT, RCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-19",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "VA",
            "license": "0117006807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McGuire Afb, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.