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NPI Code Detail

MEDICARE: KIMBERLY A COLASANTI PA -C

MEDICARE: KIMBERLY A COLASANTI PA -C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant25MP00196600NJ

General Provider Information

NPI Number : 1851357297
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY A COLASANTI PA -C
Provider Business Mailing Address
First Line : 80 OAK HILL RD
Second Line :
City : RED BANK
State : NJ
Zip : 07701-5727
Country : US
Telephone Number : 732-741-2313
Fax Number : 732-741-1952
Provider Business Practice Location Address
First Line : 1140 ROUTE 72 W
Second Line :
City : MANAHAWKIN
State : NJ
Zip : 08050-2412
Country : US
Telephone Number : 609-597-6011
Fax Number : 609-978-3149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 12/10/2025

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Directions to “ KIMBERLY A COLASANTI PA -C” Practice Location

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