Active NPI
Lucia Colletti, D.C.
- Chiropractor
- Staten Island, NY
National Provider Identifier
1316161318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007770
- Practice address
- 242 Slosson Ave
Staten Island, NY 10314-2533 - Phone
- (718) 815-1223
- Fax
- (718) 815-4372
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X007770 | NY | Primary |
Addresses
Primary practice location
242 Slosson Ave
Staten Island, NY 10314-2533
Mailing address
242 Slosson Ave
Staten Island, NY 10314-2533
Phone (718) 815-1223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5803491 | Other | NY | GHI |
| X0141 | Other | NY | EPMIRE BLUE CROSS BLUE SH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040515000173 | NY | Practitioner - Chiropractic | 2163412768 | Practice locations: Staten Island, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X007770 | NY | MD | Chiropractor |
| 007770 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316161318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 SLOSSON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103142533",
"telephone_number": "718-815-1223",
"fax_number": "718-815-4372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 SLOSSON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103142533",
"telephone_number": "718-815-1223",
"fax_number": "718-815-4372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLETTI",
"first_name": "LUCIA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X007770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5803491",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPMIRE BLUE CROSS BLUE SH",
"identifier": "X0141",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.