COLLEEN LITTLE (NPI# 1093194904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093194904 |
| Entity Type | Individual |
| Full Name | COLLEEN LITTLE |
| Credential | D.O. |
| Practice Address |
61 Beaverbrook Rd Ste 301 Lincoln Park NJ 07035-1750 |
| Mailing Address |
700 Route 46 E Ste 450 Fairfield NJ 07004-1583 |
| Practice Telephone | 9736966687 |
| Practice Fax Number | 9736962260 |
| Mailing Telephone | 9735593700 |
| Mailing Fax Number | 9735598650 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MB10911400 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 535 High Mountain Rd Ste 111, North Haledon, NJ 075082652 | 9736369000 | 9736360913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376837534 | Colleen Little | Pharmacist | 1025 Middleton Rd, T-1043, Aberdeen, MD 21001-2263 | 2011-06-06 |
| 1033422514 | Colleen J Little | Physical Therapist | 17449 Boones Ferry Rd, Suite 300, Lake Oswego, OR 97035-6206 | 2010-07-26 |
| Street Address |
61 BEAVERBROOK RD STE 301 |
| City | LINCOLN PARK |
| State | NJ |
| Zip Code | 07035-1750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333802 | Nancy Barrett | Massage Therapist | 63 Beaver Brook Road, Suite 105, Lincoln Park, NJ 07035 | 2018-04-19 |
| 1407182801 | Jody S Chimbel-berg | Occupational Therapist | 503 Pine Brook Rd., Lincoln Park, NJ 07035 | 2009-10-20 |
| 1588999486 | Jeffrey Michael Falduto | Dentist | 8 Chapel Hill Road, Lincoln Park, NJ 07035 | 2009-10-09 |
| 1467785519 | Richard Anthony Ashman | Physical Therapy Assistant | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-09-08 |
| 1679795835 | Anju Budhwani | Internal Medicine | 166 Main St Ste 1a, Lincoln Park, NJ 07035 | 2007-05-03 |
| 1740356575 | Anna Marie Kotsen | Marriage & Family Therapist | 59 Beaver Brook Rd, Suite 303d, Lincoln Park, NJ 07035 | 2006-11-24 |
| 1700992039 | Jeffrey M Falduto Dmd Dental Practice LLC | Dentist | 8 Chapel Hill Rd, Lincoln Park, NJ 07035 | 2006-08-21 |
| 1063877207 | Kenneth Fernandez | Occupational Therapy Assistant | 209 Comly Rd, M13, Lincoln Park, NJ 07035 | 2015-12-15 |
| 1316273717 | Beata Hertel-kiszkiel | Occupational Therapist | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-10-20 |
| 1750523726 | Walgreen Co | Pharmacy | 153 Main St, Lincoln Park, NJ 07035 | 2009-04-06 |
| Find all providers in zip 07035 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164769329 | Caroline Florescu | Family Medicine | 1411 Russell Ave, Lincoln Park, MI 48146-1626 | 2013-01-08 |
| 1245308402 | Patrick J Demare | Family Medicine | 63 Beaverbrook Rd, Ste 101, Lincoln Park, NJ 07035-1440 | 2006-12-04 |
| 1639260573 | Luis Felipe Fanego | Family Medicine | 3180 Fort St, Lincoln Park, MI 48146-3631 | 2006-09-27 |
| 1043281272 | Theophilus Osayi Ulinfun | Family Medicine | 752 Southfield Rd, Lincoln Park, MI 48146-2610 | 2006-01-27 |
| 1477545101 | Florence Sri-tharan | Family Medicine | 2255 Fort St, Lincoln Park, MI 48146-2444 | 2005-08-18 |
| 1508144601 | Downriver Family Physicians PC | Family Medicine | 25880 Outer Dr, Lincoln Park, MI 48146-1553 | 2011-07-25 |
| 1316230402 | Patrick J Demare Do, Pa | Family Medicine | 63 Beaverbrook Rd, Suite 101, Lincoln Park, NJ 07035-1440 | 2011-05-23 |
| 1821235136 | Joel G. Fischgrund M.d.p.a. | Family Medicine | 61 Beaverbrook Rd, Suite 301, Lincoln Park, NJ 07035-1748 | 2009-01-08 |
| 1740450303 | Metro Urgent Care & Family Medical Center PC | Family Medicine | 752 Southfield Rd, Lincoln Park, MI 48146-2610 | 2008-03-10 |
| 1588850424 | Metro Urgent Care | Family Medicine | 752 Southfield Road, Lincoln Park, MI 48146 | 2007-09-24 |
| Find all providers in LINCOLN PARK | ||||
| City | LINCOLN PARK |
| Zip Code | 07035 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.