NPIMap

Organization Active NPI

Raja Kolisetti

  • Family Medicine Physician
  • Attica, NY
National Provider Identifier
1740586536
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
185959 Issued in NY
Legal business name
RAJA KOLISETTI
Practice address
107 Prospect St
Attica, NY 14011-1149
Phone
(585) 591-6000
Fax
(585) 591-6962
NPI assigned
Jan 27, 2011
Last updated
Jan 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Raja Kolisetti, MD
Title
Physician
Phone
(585) 591-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 185959 NY Primary

Addresses

Primary practice location

107 Prospect St
Attica, NY 14011-1149

Mailing address

PO Box 333
Batavia, NY 14021-0333
Phone (585) 591-6000

National Provider Directory

National Provider Directory
Tax ID family
Inpatient Consultants of Alabama Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1740586536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140210333",
            "telephone_number": "585-591-6000",
            "fax_number": "585-591-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PROSPECT ST",
            "city": "ATTICA",
            "state": "NY",
            "postal_code": "140111149",
            "telephone_number": "585-591-6000",
            "fax_number": "585-591-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJA KOLISETTI",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "KOLISETTI",
        "authorized_official_first_name": "RAJA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "585-591-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "185959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.