Alan R Colicchio, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA47142 Issued in NJ

Practice address

1944 Corlies Ave
Suite 206
Neptune, NJ 07753-4862

Phone

(732) 774-8282

Fax

(732) 774-6816

NPI assigned

Nov 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Monmouth-Ocean Neurology PC

  • Specialist
  • Neptune, NJ
  • NPI 1508848599
  NPD (past) Authorized official
• Neurophysiology Labs

  • Durable Medical Equipment & Medical Supplies
  • Neptune, NJ
  • NPI 1003061714
  NPD (past) Authorized official

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1477535375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 CORLIES AVE",
            "address_2": "SUITE 206",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534862",
            "telephone_number": "732-774-8282",
            "fax_number": "732-774-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 CORLIES AVE",
            "address_2": "SUITE 206",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534862",
            "telephone_number": "732-774-8282",
            "fax_number": "732-774-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLICCHIO",
        "first_name": "ALAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA47142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Surgery Center, LLC
• Coastal Surgical Associates, LLC
• Claire Cohen, MD
• Jillian Laura Cohen, M.D.
• Kristen Leanne Cohen
• College Achieve Greater Asbury Park
• Marc E Colmer, M.D.
• Comfort Sleep, Inc
• Community Options, Inc
• Comsti Medical, LLC

• Specialist in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.