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MRS. TITSANIA ELIZABETH SUPERSAD COLEY AGNP-C
NPI 1700623907
Nurse Practitioner - Adult Health in Patchogue, NY

Active since July 15, 2024PECOS Enrolled
25 SCHOENFELD BLVD, PATCHOGUE, NY 11772(631) 807-0085 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2025, Jul 15, 2024 (2 updates tracked since 2024).

About Mrs. Titsania Elizabeth Supersad Coley Agnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TITSANIA ELIZABETH SUPERSAD COLEY AGNP-C (NPI 1700623907) is an individual adult health provider in Patchogue, New York, licensed in New York (311883) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700623907
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. TITSANIA ELIZABETH SUPERSAD COLEYCredential: AGNP-C
Location Address25 SCHOENFELD BLVDPatchogue, NY 11772-2982
Mailing Address372 Islip AveIslip, NY 11751-1808 · (631) 277-8804
Phone(631) 807-0085
Sole ProprietorNo
Enumeration DateJuly 15, 2024
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1700623907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 311883
25 SCHOENFELD BLVD, Patchogue, NY 11772
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Titsania Elizabeth Supersad Coley Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

J&H OPERATIONS LLC
Skilled Nursing Facility
25 SCHOENFELD BLVD
PATCHOGUE, NY 11772
Suffolk County (631) 289-7700
SUFFOLK CENTER RECEIVER LLC
Skilled Nursing Facility
25 SCHOENFELD BLVD
PATHCHOGUE, NY 11772
Suffolk County (631) 289-7700
MARVIN JOSEPH RRT
Respiratory Therapist, Certified (Pulmonary Rehabilitation)
25 SCHOENFELD BLVD
PATCHOGUE, NY 11772
Suffolk County (631) 289-7700
MARGARITA BOU RN
Registered Nurse
25 SCHOENFELD BLVD
PATCHOGUE, NY 11772
Suffolk County (631) 289-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Titsania Supersad Coley's NPI number?

The NPI number for Titsania Supersad Coley is 1700623907. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Where is Titsania Supersad Coley located?

Titsania Supersad Coley practices at 25 Schoenfeld Blvd, Patchogue, NY 11772. The listed phone number is (631) 807-0085.

What is Titsania Supersad Coley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Titsania Supersad Coley enrolled in Medicare?

Yes. Titsania Supersad Coley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Titsania Supersad Coley was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.