Healthcare Provider Details

I. General information

NPI: 1457032328
Provider Name (Legal Business Name): CARE CONNECT MEDICAL P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 WHITE PLAINS RD STE 500
TARRYTOWN NY
10591-5118
US

IV. Provider business mailing address

3090 BRISTOL ST STE 200
COSTA MESA CA
92626-3061
US

V. Phone/Fax

Practice location:
  • Phone: 888-789-9585
  • Fax:
Mailing address:
  • Phone: 888-789-9585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ORLANDO COLLADO
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 888-789-9585