Provider Demographics
NPI:1093972598
Name:COLEN, KARI LINDSEY (MD)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:LINDSEY
Last Name:COLEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4224
Mailing Address - Country:US
Mailing Address - Phone:732-333-8720
Mailing Address - Fax:848-800-4801
Practice Address - Street 1:20 PROSPECT AVENUE
Practice Address - Street 2:SUITE 903
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601
Practice Address - Country:US
Practice Address - Phone:551-228-2208
Practice Address - Fax:551-228-2210
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2359552086S0122X
NJ25MA084559002086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
139488OtherPTAN