DEANNON COLON (MD) – Primary Care Clinic/Center, NPI 1093065542

DEANNON COLON (MD) is a healthcare provider. based in New brunswick, New Jersey. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 25MA09616800 (NJ). The NPI Number for DEANNON COLON (MD) is 1093065542

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DEANNON COLON (MD)
NPI
1093065542
Phone
(732) 235-6700
Address
277 GEORGE ST
Enumeration Date
12 September 2012
Last Update Date
11 April 2024

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
7322356700
Graduation Year
2007 (19 years ago)
PAC ID
1759699671
Group Practice PAC ID
0042111601
Professional Enrollment ID
I20150925002116
Address ID
NJ089011476NE277XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,520 FAMILY PRACTICE in NJ

Provider Addresses for DEANNON COLON (MD)

  • 277 GEORGE ST

    NEW BRUNSWICK, NJ 089011311

    Phone: (732) 235-6700

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-25

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150925002116IFamily PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042111601View full group profile
NameSpecialtyState
Internal MedicineNJ
-NJ
-NJ
Family PracticeNH
Internal MedicineNJ
Clinical Social WorkerNJ
Internal MedicineNJ
Infectious Disease, Internal MedicineNJ
Family PracticeNJ
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

Where can patients find DEANNON COLON (MD)'s NPI?
You can confirm DEANNON COLON (MD) with NPI 1093065542; it appears in the national provider directory.
Is DEANNON COLON (MD)'s NPI currently valid?
The extract we use shows DEANNON COLON (MD) as active.
What does DEANNON COLON (MD) treat or focus on?
Patients typically see DEANNON COLON (MD) under the specialty Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
What location metadata exists for DEANNON COLON (MD)?
The page summarizes New Brunswick, New Jersey for DEANNON COLON (MD); expand the address list for detail.
What if New Brunswick, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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