Organization Active NPI

Interventional Cardiovascular Associates, P.a.

  • Specialist
  • Lewes, DE
National Provider Identifier
1013128933
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INTERVENTIONAL CARDIOVASCULAR ASSOCIATES, P.A.
Practice address
16529 Coastal Hwy
Suite 125
Lewes, DE 19958-3605
Phone
(302) 645-1500
Fax
(302) 258-0864
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roger Howard Coletti, MD
Title
President
Phone
(201) 441-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

16529 Coastal Hwy
Suite 125
Lewes, DE 19958-3605

Mailing address

324 Captains Cir
Lewes, DE 19958-3785
Phone (302) 645-1500

National Provider Directory

National Provider Directory

Locations

16529 Coastal Hwy
Unit 125
Lewes, DE 19958
Phone (302) 645-1500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1013128933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 CAPTAINS CIR",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583785",
            "telephone_number": "302-645-1500",
            "fax_number": "302-258-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16529 COASTAL HWY",
            "address_2": "SUITE 125",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583605",
            "telephone_number": "302-645-1500",
            "fax_number": "302-258-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL CARDIOVASCULAR ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "COLETTI",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-441-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.