Individual provider Active NPI

Oliver Colaprete, PA-C

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1376171454
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
025758 Issued in NY
Practice address
3648 Dewey Ave
Rochester, NY 14616-3024
Phone
(585) 747-7737
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 025758 NY Primary

Addresses

Primary practice location

3648 Dewey Ave
Rochester, NY 14616-3024

Mailing address

3648 Dewey Ave
Rochester, NY 14616-3024
Phone (585) 747-7737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210329001369 NY Practitioner - Physician Assistant 8820405368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

1238 E Ridge Rd
Rochester, NY 14621-2012
Phone (585) 537-3792

18 Courtney Dr
Fairport, NY 14450-3338
Phone (585) 421-7537

233 Winton Rd N
Rochester, NY 14610-1229
Phone (585) 441-3914

3648 Dewey Ave
Rochester, NY 14616-3024
Phone (585) 786-3503

446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
025758NYMDPhysical Therapist

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.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1376171454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3648 DEWEY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146163024",
            "telephone_number": "585-747-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3648 DEWEY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146163024",
            "telephone_number": "585-747-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAPRETE",
        "first_name": "OLIVER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "025758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.