MR. JOSEPH COLLETTI (NPI# 1174946479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174946479 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH COLLETTI |
| Credential | P.A. |
| Practice Address |
2106 New Rd Ste D4 Linwood NJ 08221-1050 |
| Mailing Address |
2099 New Albany Rd Cinnaminson NJ 08077-3534 |
| Practice Telephone | 6099266474 |
| Practice Fax Number | 6099266474 |
| Mailing Telephone | 6099268899 |
| Mailing Fax Number | 8567721997 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2018-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00326600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700207461 | Joseph Colletti | Counselor | 525 Edgelawn, Aurora, IL 60506 | 2013-12-26 |
| 1164423000 | Joseph J Colletti | Psychologist | 702 N Blackhawk Ave, Suite 100, Madison, WI 53705-3357 | 2005-08-02 |
| Street Address |
2106 NEW RD STE D4 |
| City | LINWOOD |
| State | NJ |
| Zip Code | 08221-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508829540 | Deborah Marie Pontoriero | Registered Nurse | 2106 New Rd Ste D4, Linwood, NJ 08221-1050 | 2006-04-10 |
| 1851805741 | Domenico Colletti Jr. | Physician Assistant | 2106 New Rd Ste D4, Linwood, NJ 08221-1050 | 2017-11-30 |
| 1194274514 | Ina Dubnavitskaya | Physician Assistant | 2106 New Rd Ste D4, Linwood, NJ 08221-1050 | 2016-09-27 |
| 1730575523 | Joellynn Cathleen Verdier | Nurse Practitioner | 2106 New Rd Ste D4, Linwood, NJ 08221-1050 | 2015-04-08 |
| 1598159147 | Brittany Sciullo | Nurse Practitioner | 2106 New Rd Ste D4, Linwood, NJ 08221-1050 | 2015-03-21 |
| 1275950230 | Elisa Conway | Nurse Practitioner | 2106 New Rd Ste D4, Linwood, NJ 08221-1050 | 2014-03-27 |
| 1952354003 | Jennifer Lee Sibiga | Nurse Practitioner | 2106 New Rd Ste D4, Linwood, NJ 08221-1050 | 2006-05-18 |
| 1386601433 | Coyle S Connolly | Dermatology | 2106 New Rd Ste D4, Linwood, NJ 08221-1050 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740831049 | Atlantic County Comprehensive Healthcare PC | Specialist | 1201 New Road, Suite 120, Linwood, NJ 08221 | 2019-09-27 |
| 1437625381 | Seawolf Yoga LLC | Counselor | 222 New Rd. Suite 405 Central Park East, Linwood, NJ 08221 | 2018-10-18 |
| 1720451263 | Vitality Nutrition and Wellness Center LLC | Dietitian, Registered | 2000 Shore Road, Suite 104, Linwood, NJ 08221 | 2015-11-05 |
| 1679968028 | Maria Roca Camille Jarillo | Physical Medicine & Rehabilitation | 201 New Road, Linwood, NJ 08221 | 2015-04-02 |
| 1154754836 | Heidi Schnorr-leavy, LLC | Counselor | 1201 New Rd. S-130, Linwood, NJ 08221 | 2013-08-16 |
| 1750625430 | The Frankel Orthopedic and Sports Medicine Center LLC | Orthopaedic Surgery | 64 Central Square, Linwood, NJ 08221 | 2012-11-19 |
| 1710211388 | Peter E. Wiesel | Dentist | 222 New Road, Suite #401, Linwood, NJ 08221 | 2009-09-29 |
| 1093945693 | Judy Lozada Cabinian | Physical Therapist | New Road and Central Avenue, Linwood, NJ 08221 | 2009-07-17 |
| 1992969687 | Ila A. Keiner LLC | Social Worker | Route 9 and Central Ave, Central Square Unit 61a, Linwood, NJ 08221 | 2008-07-11 |
| 1578726782 | Karla Moody | Licensed Practical Nurse | 201 Central Avenue, Linwood Care Center, Linwood, NJ 08221 | 2008-07-08 |
| Find all providers in zip 08221 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851563274 | Melissa Louise Lewis | Physician Assistant | 2106 New Rd Ste D8, Linwood, NJ 08221-1050 | 2008-03-25 |
| 1689856916 | Jennifer A Gallas | Physician Assistant | 199 New Rd., Central Square Suite 62-63, Linwood, NJ 08221 | 2007-11-28 |
| 1851805741 | Domenico Colletti Jr. | Physician Assistant | 2106 New Rd Ste D4, Linwood, NJ 08221-1050 | 2017-11-30 |
| 1558798702 | Michelle Kus | Physician Assistant | 222 New Rd Ste 201, Linwood, NJ 08221-1281 | 2013-10-02 |
| 1528491719 | Shane P Courtney | Physician Assistant | 2106 New Rd, Suite D4, Linwood, NJ 08221-1046 | 2013-08-12 |
| 1497199087 | Rebecca Chen | Physician Assistant | 1541 Chichester Ave, Linwood, PA 19061-4207 | 2013-04-25 |
| 1235485178 | Sean Alan Adair | Physician Assistant | 2106 New Rd, Suite D-4, Linwood, NJ 08221-1046 | 2012-07-30 |
| 1083852792 | Lauren Cincotta | Physician Assistant | 2106 New Rd, Ste D4, Linwood, NJ 08221-1046 | 2009-02-03 |
| 1972795300 | Marissa L Smargiassi | Physician Assistant | 199 New Rd, Central Square Suite 62-63, Linwood, NJ 08221-1325 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1427660810 | Lauren Colacicco | Physician Assistant | 406 Nj-23 North, Franklin, NJ 07416 | 2020-08-18 |
| 1912525353 | Thy T Pham | Physician Assistant | 2 Capital Way Ste 407, Pennington, NJ 08534-2521 | 2020-07-13 |
| 1982226270 | Alexandra Bellisario | Physician Assistant | 7 Normandy Pl, Colts Neck, NJ 07722-1174 | 2020-05-11 |
| 1497394266 | Trevor Paul | Physician Assistant | 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 | 2019-12-27 |
| 1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1245871334 | Terrell Amanda Collins | Physician Assistant | 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 | 2019-10-01 |
| 1013561422 | Adrienne Lauren Rinaldi | Physician Assistant | 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
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| 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.