DR. MATTHEW STEVEN COLANTONI (NPI# 1770840209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770840209 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW STEVEN COLANTONI |
| Credential | D.O. |
| Practice Address |
703 Main Street Emergency Medicine Department Paterson NJ 07503 |
| Practice Telephone | 9737542240 |
| Practice Fax Number | 9737542249 |
| Mailing Telephone | 9737542240 |
| Mailing Fax Number | 9737542249 |
| Enumeration Date | 2012-04-22 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25MB10391200 | NJ | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 278883 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04134396 | 05 |
| Street Address |
703 MAIN STREET EMERGENCY MEDICINE DEPARTMENT |
| City | PATERSON |
| State | NJ |
| Zip Code | 07503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182403 | Michael C Erlichman | Dentist | 703 Main Street, St. Joseph's Regional Medical Center, Paterson, NJ 07503 | 2005-05-24 |
| 1386265569 | Tanisha Prashant Wandhare | Student in an Organized Health Care Education/Training Program | 703 Main Street, Department of Surgery/trauma, St. Joseph's University M, Paterson, NJ 07503 | 2020-04-29 |
| 1407372238 | Kristen F Henderson | Pediatrics | 703 Main Street, Pediatrics Department - Picu, Paterson, NJ 07503-0750 | 2017-08-14 |
| 1942757125 | Saint Joseph Regional Medical Center | Long Term Care Hospital | 703 Main Street, Paterson, NJ 07503-3700 | 2016-09-06 |
| 1821544115 | Vinod Kumar | Internal Medicine | 703 Main Street, Paterson, NJ 07503 | 2016-08-28 |
| 1851766588 | Sundus Abbasi | Student in an Organized Health Care Education/Training Program | 703 Main Street, Paterson, NJ 07053 | 2015-12-07 |
| 1831593961 | Islam Kassab | Physician Assistant | 703 Main Street, Paterson, NJ 07503 | 2014-10-17 |
| 1043638638 | Jerome Edward Balbin | Emergency Medicine | 703 Main Street, Department of Emergency Medicine, Paterson, NJ 07503 | 2014-04-01 |
| 1891033106 | Melissa Slivka | Social Worker | 703 Main Street, Paterson, NJ 07503-2621 | 2013-01-21 |
| 1679823645 | Michael Hanna | Internal Medicine | 703 Main Street, Paterson, NJ 07503-2621 | 2012-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1295206563 | Safa Travel LLC | Taxi | 205 Illinois Ave Fl 2, Paterson, NJ 07503 | 2018-12-16 |
| 1740780980 | Icp2 LLC | Pharmacy | 661main Street, Paterson, NJ 07503 | 2018-02-14 |
| 1194224329 | Reliable Laboratory | Clinical Medical Laboratory | 37 Crooks Avenue #43, Paterson, NJ 07503 | 2018-02-02 |
| 1487178703 | Field of Vision Services, LLC | Community/Behavioral Health | 235 Dakota St. Unit 1, Paterson, NJ 07503 | 2017-07-28 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1396266680 | Tulip Obgyn LLC | Obstetrics & Gynecology | 991 Main St Ste 2b, Paterson, NJ 07503 | 2017-06-28 |
| 1194251421 | Straight and Narrow, Inc | Substance Abuse Rehabilitation Facility | 410 Straight Street, Paterson, NJ 07503 | 2017-05-05 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447541768 | Eric Steinberg | Emergency Medicine | 703 Main St # 703, Paterson, NJ 07503-2621 | 2011-04-20 |
| 1457593196 | Coral Diagnostics, LLC | Emergency Medicine | 684 Market St, Paterson, NJ 07513-1231 | 2009-03-26 |
| 1669588422 | Fred Revoredo | Emergency Medicine | 425 15th Ave, Paterson, NJ 07504-1811 | 2006-08-22 |
| 1568982957 | Raymond B Isenburg | Emergency Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2017-06-27 |
| 1760833735 | Navtarunjot Singh | Emergency Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2016-06-30 |
| 1679924773 | Hima Khamar | Emergency Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2016-06-29 |
| 1215388525 | Nicholas Mota | Emergency Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2016-06-28 |
| 1417308859 | Kerri Clayton | Emergency Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2016-06-27 |
| 1215313812 | Katrina D'amore | Emergency Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2015-08-05 |
| 1578947420 | Yenisleidy Paez Perez | Emergency Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2015-07-09 |
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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.