Individual provider Active NPI

Nicole D Coluccio, M.D.

  • Obstetrics & Gynecology Physician
  • Albany, NY
National Provider Identifier
1760446744
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
232155 Issued in NY
Practice address
319 S Manning Blvd Ste 201
Albany, NY 12208-1743
Phone
(518) 516-6724
Fax
(518) 708-8773
NPI assigned
Apr 14, 2006
Last updated
Jan 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 232155 NY Primary

Addresses

Primary practice location

319 S Manning Blvd Ste 201
Albany, NY 12208-1743

Mailing address

319 S Manning Blvd Ste 201
Albany, NY 12208-1743
Phone (518) 516-6724

Other identifiers 3

IdentifierTypeStateIssuer
P00294582OtherNYRAILROAD MEDICARE
782072OtherNYMVP PROVIDER #
10087875OtherNYCDPHP PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000514 NY Practitioner - Obstetrics/Gynecology 0648229427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Georgetown University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Obstetrics and Gynecology PCGroup PAC ID 0840470977, 12 clinicians

Practice addresses (Care Compare)

319 S Manning Blvd
Suite 201
Albany, NY 12208-1743
Phone (518) 489-3296

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Hospital of the City of Albany CurrentSince Feb 17, 2025 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Feb 17, 2025 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Feb 17, 2025 Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

400 Patroon Creek Blvd
Ste 102
Albany, NY 12206
Phone (518) 445-4320

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

1301 River St
Ste 204
Valatie, NY 12184
Phone (518) 392-8600

Interoperability endpoints

  • Direct secure messaging: drnicolecoluccio@albanyobgyn.medentdirect.com
  • Direct secure messaging: ncoluccio788161@direct.trinity-health.org
  • Direct secure messaging: nicolecoluccio@uobgynapc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1760446744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S MANNING BLVD STE 201",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081743",
            "telephone_number": "518-516-6724",
            "fax_number": "518-708-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MANNING BLVD STE 201",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081743",
            "telephone_number": "518-516-6724",
            "fax_number": "518-708-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLUCCIO",
        "first_name": "NICOLE",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "232155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00294582",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROVIDER #",
            "identifier": "782072",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP PROVIDER #",
            "identifier": "10087875",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.