Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE SOMMER COLALILLO
Active Sole ProprietorJACQUELINE SOMMER COLALILLO is a Physician Assistant healthcare provider located in LAKE GROVE, New York. NPI 1104701671 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAKE GROVE, NY
Registration Details
- NPI Number
- 1104701671
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2025 (1.0197334977701 yrs)
- Last Updated
- Aug 25, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 SMITH HAVEN MALL STE 110LAKE GROVE, NY, 117551219Browse NY providers · Browse ZIP 11755
- Phone
- 6314446270
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAKE GROVE, NY
| Name | Credential | NPI |
|---|---|---|
| PATRICIA J BRIMS | PA-C | 1912094426 |
| JULIO C ALMEYDA | PHYSICIAN ASSISTANT | 1366877185 |
| JENNIFER SCHWARTZ | — | 1609304609 |
| HANNAH SKYLAR SLEDGE | PA | 1750915252 |
| ANUM MAHMOOD | RPA-C | 1427725936 |
| MATTHEW MERENSKY | PA-C | 1578220455 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.