Active NPI
Tony Gerard Colletti
- Specialist
- Metairie, LA
National Provider Identifier
1487091864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 08500
- Practice address
- 4921 Airline Dr
Metairie, LA 70001-5664 - Phone
- (580) 488-9266
- Fax
- (504) 889-5615
- NPI assigned
- May 27, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 08500 | LA | Primary |
Addresses
Primary practice location
4921 Airline Dr
Metairie, LA 70001-5664
Mailing address
671 W Esplanade Ave
Suite 100
Kenner, LA 70065-2794
Phone (504) 467-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08500 | LA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369612800000",
"number": "1487091864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 W ESPLANADE AVE",
"address_2": "SUITE 100",
"city": "KENNER",
"state": "LA",
"postal_code": "700652794",
"telephone_number": "504-467-5900",
"fax_number": "504-467-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 AIRLINE DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700015664",
"telephone_number": "580-488-9266",
"fax_number": "504-889-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLETTI",
"first_name": "TONY",
"middle_name": "GERARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-27",
"last_updated": "2013-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "08500",
"primary": true
}
],
"identifiers": [],
"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 May 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.