Organization Active NPI

Long Island Pulmonary and Sleep Medicine Associates, PLLC

  • Pulmonary Disease Physician
  • Rockville Centre, NY
National Provider Identifier
1710008644
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
187532 Issued in NY
Legal business name
LONG ISLAND PULMONARY AND SLEEP MEDICINE ASSOCIATES, PLLC
Practice address
200 N Village Ave
Suite 300
Rockville Centre, NY 11570-2341
Phone
(516) 536-8151
Fax
(516) 536-8153
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Frank Saverio Coletta, MDNPI 1952421885
Title
President
Phone
(516) 536-8151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 187532 NY Primary

Addresses

Primary practice location

200 N Village Ave
Suite 300
Rockville Centre, NY 11570-2341

Mailing address

200 N Village Ave
Suite 300
Rockville Centre, NY 11570-2341
Phone (516) 536-8151

Other identifiers 1

IdentifierTypeStateIssuer
WBW611OtherNYMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050926000052 NY Part B Supplier - Clinic/Group Practice 5496789893 Receives reassigned benefits from 1 practitioner
Practice locations: Hempstead, NY; Rockville Centre, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1099829Long Island Pulmonary and Sleep Medical Associates200 North Village Avenue, Suite 300 Room #1, Rockville Centre, NY 11570Certificate of waiverOct 20, 2026

National Provider Directory

National Provider Directory

Locations

30 Hempstead Ave
Ste H7
Rockville Centre, NY 11570
Phone (516) 536-1249

200 N Village Ave
Ste 300
Rockville Ctr, NY 11570
Phone (516) 536-8151

77 N Centre Ave
Ste 211
Rockville Ctr, NY 11570
Phone (516) 536-8151

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1710008644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N VILLAGE AVE",
            "address_2": "SUITE 300",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702341",
            "telephone_number": "516-536-8151",
            "fax_number": "516-536-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N VILLAGE AVE",
            "address_2": "SUITE 300",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702341",
            "telephone_number": "516-536-8151",
            "fax_number": "516-536-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PULMONARY AND SLEEP MEDICINE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "COLETTA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "SAVERIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-536-8151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "187532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WBW611",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.