Jacqueline Colalillo
NPI 1104701671 · Physician Assistant · Lake Grove, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Colalillo is a Physician Assistant provider in Lake Grove, NY (NPI 1104701671).
Provider details
- NPI number
- 1104701671
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-08-06
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Frequently asked questions
- What is Jacqueline Colalillo's NPI number?
- Jacqueline Colalillo's National Provider Identifier (NPI) is 1104701671, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Colalillo's specialty?
- Jacqueline Colalillo is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacqueline Colalillo located?
- Jacqueline Colalillo's practice location on file with NPPES is 4 Smith Haven Mall Ste 110, Lake Grove, NY 11755-1219.
- What is Jacqueline Colalillo's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Colalillo is (631) 444-6270.
- Does Jacqueline Colalillo accept Medicare?
- Jacqueline Colalillo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Colalillo's NPI active?
- Yes — Jacqueline Colalillo's NPI (1104701671) is active in the NPPES registry as of the last update on 2025-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.