Active NPI
Umberto Coletta, MD
- Anatomic Pathology & Clinical Pathology Physician
- Brick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 25MAO4645500
- Practice address
- 425 Jack Martin Blvd
Ocean Med Ctr Dept of Pathology
Brick, NJ 08724 - Phone
- (732) 840-3237
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25MAO4645500 | NJ | Primary |
Addresses
Primary practice location
425 Jack Martin Blvd
Ocean Med Ctr Dept of Pathology
Brick, NJ 08724
Mailing address
28 Heyward Hills Drive
Holmdel, NJ 07733
Phone (732) 840-3237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8045208 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
425 Jack Martin Blvd
Ocean Med Ctr Dept of Pathology
Brick, NJ 08724-7732
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MAO4645500 | NJ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Meridian Laboratory Physicians PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Advanced Digestive Center, Inc | Current | Accepting new patients |
Locations
935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012
205 Bridge St
Metuchen, NJ 08840
Phone (718) 795-7586
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Metuchen, NJ
- NPI 1962423053
-
- Anatomic Pathology & Clinical Pathology Physician
- Brick, NJ
- NPI 1104903723
-
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1437218641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 HEYWARD HILLS DRIVE",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "07733",
"telephone_number": "732-840-3237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 JACK MARTIN BLVD",
"address_2": "OCEAN MED CTR DEPT OF PATHOLOGY",
"city": "BRICK",
"state": "NJ",
"postal_code": "08724",
"telephone_number": "732-840-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLETTA",
"first_name": "UMBERTO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NJ",
"license": "25MAO4645500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8045208",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.