DR. MARIO CHARLES COLLETTI


Address: 703 Main St, Paterson, NJ 07503
Phone: 9739724300

DR. MARIO CHARLES COLLETTI (NPI# 1043449671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043449671
Entity Type Individual
Full Name DR. MARIO CHARLES COLLETTI
Credential M.D.
Practice Address 703 Main St
Paterson
NJ 07503
Mailing Address 7 Berry Dr
Wayne
NJ 07470-3812
Practice Telephone 9739724300
Mailing Telephone 6317676552
Enumeration Date 2009-07-02
Last Update Date 2018-06-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
25MA10146800 NJ Allopathic & Osteopathic Physicians

Office Location

Street Address 703 MAIN ST
City PATERSON
State NJ
Zip Code 07503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831192269 Subhashree Datta Bhutada Pediatrics 703 Main St, Paterson, NJ 07503-2621 2005-05-31
1629684048 Michelle Szerling Nurse Practitioner 703 Main St, Paterson, NJ 07503-2621 2020-09-21
1851905822 Ijeoma Christiana Onyeagocha Nurse Practitioner 703 Main St, Paterson, NJ 07503-2621 2020-09-07
1518571868 Prathyusha Chennupati Student in an Organized Health Care Education/Training Program 703 Main St, Paterson, NJ 07503-2621 2020-09-03
1639782030 Claudio Sam Santos Nurse Practitioner 703 Main St, Paterson, NJ 07503-2621 2020-08-25
1720690688 Sewar Hisham Abuarqob Student in an Organized Health Care Education/Training Program 703 Main St, Paterson, NJ 07503-2621 2020-08-20
1336750413 Trixie Kioko-kamps Midwife 703 Main St, Paterson, NJ 07503-2621 2020-08-12
1548870538 Kristina Scott Dietitian, Registered 703 Main St, Paterson, NJ 07503-2621 2020-08-04
1972112530 Devon Marie Cavazos Social Worker 703 Main St, Paterson, NJ 07503-2691 2020-07-29
1225656408 Dinesh Parmar Student in an Organized Health Care Education/Training Program 703 Main St, Paterson, NJ 07503-2621 2020-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669001426 Kevin Vasquez Student in an Organized Health Care Education/Training Program St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 2020-04-03
1689210346 Denisa Stojakova Internal Medicine 37 Crooks Ave Ste 43, Paterson, NJ 07503 2019-11-18
1295206563 Safa Travel LLC Taxi 205 Illinois Ave Fl 2, Paterson, NJ 07503 2018-12-16
1740780980 Icp2 LLC Pharmacy 661main Street, Paterson, NJ 07503 2018-02-14
1194224329 Reliable Laboratory Clinical Medical Laboratory 37 Crooks Avenue #43, Paterson, NJ 07503 2018-02-02
1487178703 Field of Vision Services, LLC Community/Behavioral Health 235 Dakota St. Unit 1, Paterson, NJ 07503 2017-07-28
1982125043 Saera Watanabe Student in an Organized Health Care Education/Training Program 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 2017-06-29
1396266680 Tulip Obgyn LLC Obstetrics & Gynecology 991 Main St Ste 2b, Paterson, NJ 07503 2017-06-28
1194251421 Straight and Narrow, Inc Substance Abuse Rehabilitation Facility 410 Straight Street, Paterson, NJ 07503 2017-05-05
1083160956 St. Josephs Regional Medical Center Student in an Organized Health Care Education/Training Program 400 Hospital Plaza, Paterson, NJ 07503 2016-08-30
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457353757 Willaim J Debruin Pediatrics 703 Main St, Paterson, NJ 07503-2621 2005-06-01
1285636563 Barbara M Cocovinis Pediatrics 703 Main St, Paterson, NJ 07503-2621 2005-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821174558 Meena Kalyanaraman Pediatrics 201 Lyons Ave # C-5, Newark, NJ 07112-2027 2006-10-27
1376956946 Rachel Lewis Pediatrics 30 Prospect Ave, Picu, Hackensack, NJ 07601-1915 2014-06-11
1568705051 Maria Luisa Escobar Pediatrics 100 Madison Ave, Morristown, NJ 07960-6136 2013-04-03
1528326980 Amy L. Chirico Pediatrics 30 Prospect Ave, Hackensack, NJ 07601 2012-04-24
1134421530 Abigail Hodges Walsh Pediatrics 94 Old Short Hills Rd, Livingston, NJ 07039 2010-11-17
1356671887 Colin Russell O'reilly Pediatrics 200 Somerset St, New Brunswick, NJ 08901-1942 2010-01-06
1396074456 Michael Keenaghan Pediatrics 100 Madison Ave, Morristown, NJ 07960-6136 2009-12-17
1104060102 Amit C Misra Pediatrics 300 Second Avenue, Long Branch, NJ 07740 2009-04-22
1952544272 Ma. Bernardita Ricafort Gamallo Pediatrics 100 Madison Ave, Morristown, NJ 07960-6136 2009-04-16
1780831867 Sumon Kumar Das Pediatrics 201 Lyons Ave, Ste C5, Newark, NJ 07112-2027 2008-08-20
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Competitor

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City PATERSON
Zip Code 07503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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