MAX COLACINO (NPI# 1851923080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851923080 |
Entity Type | Individual |
Full Name | MAX COLACINO |
Practice Address |
1216 Bay St Staten Island NY 10305-3169 |
Mailing Address |
918 Edgegrove Ave Staten Island NY 10309-2311 |
Practice Telephone | 7189824774 |
Enumeration Date | 2020-02-05 |
Last Update Date | 2020-02-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
1216 BAY ST |
City | STATEN ISLAND |
State | NY |
Zip Code | 10305-3169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326434515 | St.vincent's Hospital Westchester | Clinic/Center | 1216 Bay St, Staten Island, NY 10305-3169 | 2015-04-14 |
1609406073 | John Murray Jr. | Social Worker | 1216 Bay St, Staten Island, NY 10305-3169 | 2020-01-24 |
1346889912 | Jeffrey Ward Dittus | Social Worker | 1216 Bay St, Staten Island, NY 10305-3169 | 2019-12-31 |
1467007005 | Jesin Samuel | Registered Nurse | 1216 Bay St, Staten Island, NY 10305-3169 | 2019-08-08 |
1942860184 | Deborah Ann Rodriguez | Counselor | 1216 Bay St, Staten Island, NY 10305-3169 | 2019-06-19 |
1851954366 | Cassandra Conway | Social Worker | 1216 Bay St, Staten Island, NY 10305-3169 | 2019-04-19 |
1033677711 | Alvin Spencer | Registered Nurse | 1216 Bay St, Staten Island, NY 10305-3169 | 2019-03-12 |
1508321779 | Alaphia Brown | Social Worker | 1216 Bay St, Staten Island, NY 10305-3169 | 2019-02-01 |
1023586674 | Emily Feltham | Social Worker | 1216 Bay St, Staten Island, NY 10305-3169 | 2018-11-12 |
1679059117 | Michelle Mizikoski | Social Worker | 1216 Bay St, Staten Island, NY 10305 | 2018-07-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
Find all providers in zip 10305 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578930657 | Mindy Fried | Peer Specialist | 23 Niles Pl, Staten Island, NY 10314-5025 | 2015-08-25 |
1437794997 | Nicole Suzanne Mccarthy | Peer Specialist | 392 Seguine Ave, Staten Island, NY 10309-3906 | 2019-11-08 |
1245891365 | Edward Cain | Peer Specialist | 392 Seguine Ave, Staten Island, NY 10309-3906 | 2019-06-28 |
1538520754 | Roxelle Palmer | Peer Specialist | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2016-03-16 |
1750742938 | Rachid Ottley | Peer Specialist | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2016-03-15 |
1942660923 | Allison Grasso | Peer Specialist | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2016-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385896 | Gary N/a Peluso | Peer Specialist | 62 Allan Dr, East Norwich, NY 11732-1203 | 2020-10-28 |
1043810138 | Ryan Hope Mcgovern | Peer Specialist | 950 S Oyster Bay Rd Bay Road, Hicksville, NY 11801-3510 | 2020-10-28 |
1669070207 | Sayeeda Zorita Daniels | Peer Specialist | 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 | 2020-10-15 |
1801409842 | Alexander Mannino | Peer Specialist | 419 Palisade Ave, Yonkers, NY 10703-2610 | 2020-08-28 |
1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
1700404001 | Kathy Annett Gardini | Peer Specialist | 1914 Brookhaven Ave, Far Rockaway, NY 11691-3626 | 2020-07-13 |
1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
1174140545 | Mercedes Busby | Peer Specialist | 118 Brauncroft Ln, Amherst, NY 14226-4957 | 2020-07-01 |
1457977258 | Carla J Alomar | Peer Specialist | 414 Martin Rd, Lackawanna, NY 14218-2830 | 2020-06-18 |
Find all providers with the same taxonomy |
City | STATEN ISLAND |
Zip Code | 10305 |
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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.