Organization Active NPI

VA Culotta Jr MD LLC

  • Medical Specialty Clinic/Center
  • Metairie, LA
National Provider Identifier
1306273511
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
VA CULOTTA JR MD LLC
Practice address
4420 Conlin St.
Ste 300
Metairie, LA 70006
Phone
(504) 872-9283
Fax
(504) 298-1032
NPI assigned
Oct 2, 2013
Last updated
Feb 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Dr. Vincent Anthony Culotta, MDNPI 1740224963
Title
Owner
Phone
(504) 872-9283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

4420 Conlin St.
Ste 300
Metairie, LA 70006

Mailing address

4420 Conlin St
Ste 300
Metairie, LA 70006-2167
Phone (504) 872-9283

Other identifiers 1

IdentifierTypeStateIssuer
1107107MedicaidLA

National Provider Directory

National Provider Directory

Locations

4420 Conlin St
Ste 300
Metairie, LA 70006
Phone (504) 872-9283

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1306273511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 CONLIN ST",
            "address_2": "STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062167",
            "telephone_number": "504-872-9283",
            "fax_number": "504-298-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 CONLIN ST.",
            "address_2": "STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-872-9283",
            "fax_number": "504-298-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA CULOTTA JR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "CULOTTA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-872-9283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1107107",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.