Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kimberly A Colantuono, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1174838205

Mrs. Kimberly A Colantuono, ANP is a Nurse Practitioner in New York, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2010, 16 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2010
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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (516) 993-3853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F305474-1 (NY)

Record details

NPI number1174838205
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedAugust 12, 2010
Last updated in NPPESAugust 12, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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