Active NPI
Rosanne Patrice Coluccio, D.D.S.
- Dentist
- Loudonville, NY
National Provider Identifier
1144285222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 061028
- Practice address
- 399 Albany Shaker Rd Ste 201
Loudonville, NY 12211-1970 - Phone
- (518) 438-1131
- Fax
- (518) 438-9490
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 061028 | NY | Primary |
Addresses
Primary practice location
399 Albany Shaker Rd Ste 201
Loudonville, NY 12211-1970
Mailing address
399 Albany Shaker Rd Ste 201
Loudonville, NY 12211-1970
Phone (518) 438-1131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061028 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Esmay,DDS & Mark Polsinellodmd.PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Loudonville, NY
- NPI 1225280613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1144285222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 ALBANY SHAKER RD STE 201",
"city": "LOUDONVILLE",
"state": "NY",
"postal_code": "122111970",
"telephone_number": "518-438-1131",
"fax_number": "518-438-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 ALBANY SHAKER RD STE 201",
"city": "LOUDONVILLE",
"state": "NY",
"postal_code": "122111970",
"telephone_number": "518-438-1131",
"fax_number": "518-438-9490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLUCCIO",
"first_name": "ROSANNE",
"middle_name": "PATRICE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "061028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loudonville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.