Jacqueline Sommer Colalillo
Physician Assistant · Lake Grove, NY
Jacqueline Sommer Colalillo is a physician assistant with a practice address in Lake Grove, New York, and NPI 1104701671, issued on Aug 6, 2025. Check the license with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacqueline Sommer Colalillo
- Primary taxonomy
- Physician Assistant 363A00000X
- Practice location
- 4 Smith Haven Mall Ste 110, Lake Grove, NY 11755
- Phone
- (631) 444-6270
- Enumerated
- Aug 6, 2025
- Record last updated
- Aug 25, 2025
- Medicare enrollment
- Enrolled (PECOS I20251016003295); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 15,555 in New York → Look up another NPI →
Also registered at 4 Smith Haven Mall Ste 110
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kristen Tooma, MSN, APRN, AGNCNP-BCAdult Health Nurse Practitioner1871489864
Verify Jacqueline Sommer Colalillo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Stony Brook Urology University Faculty Practice CorporationEast Setauket, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacqueline Sommer Colalillo among 15,555 physician assistant records in New York
Jacqueline Sommer Colalillo is one of 15,555 physician assistant records with a practice address in New York. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 89% of them.
- NPI issued2025 · 89% of these records are older, 4% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 52% of these records are
- Graduated2025 · median 2018 among the 8,158 with a school on file
- Record last updated2025 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
10 physician assistant records list a practice address in Lake Grove
They are 10 of the 241 NPPES records with a practice address in Lake Grove, and 15,555 physician assistant records in New York.
All 15,555 in New York → Every provider in Lake Grove → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Julio Almeyda, PHYSICIAN ASSISTANTLake Grove, NY 117551366877185
- Patricia Brims, PA-CLake Grove, NY 117551912094426
- Emily Farina, PA-CLake Grove, NY 117551962185736
- Patrick LeeLake Grove, NY 117551861275596
- Anum Mahmood, RPA-CLake Grove, NY 117551427725936
- Matthew Merensky, PA-CLake Grove, NY 117551578220455
- Alexandra Saar, PA-CLake Grove, NY 117551447013586
- Jennifer SchwartzLake Grove, NY 117551609304609
Common questions
What is Jacqueline Sommer Colalillo's NPI number?
Jacqueline Sommer Colalillo's National Provider Identifier (NPI) is 1104701671, issued on Aug 6, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Jacqueline Sommer Colalillo located?
The NPPES record lists a practice address at 4 Smith Haven Mall Ste 110, Lake Grove, NY, 11755. Phone: (631) 444-6270. Providers update this record themselves, so call before visiting.
How can I verify Jacqueline Sommer Colalillo's license?
Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.