Mia Collucci, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

282 Broad St
Red Bank, NJ 07701-2003

Phone

(732) 842-3600

NPI assigned

Jun 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allegra Arthritis Associates PCGroup PAC ID 6204866098, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.47 of 100Reported as group

Quality

96.64

Improvement activities

40

Cost

66.05

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: mcollucci@allegraarthritis.updoxdirect.com

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.

• Allegra Arthritis Associates PC

  • Rheumatology Physician
  • Red Bank, NJ
  • NPI 1205994902
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1841929411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 SW CENTRAL AVE",
            "city": "SEASIDE PARK",
            "state": "NJ",
            "postal_code": "087521951",
            "telephone_number": "732-685-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012003",
            "telephone_number": "732-842-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Maple Pl",
            "address_purpose": "LOCATION",
            "city": "Keyport",
            "state": "NJ",
            "postal_code": "077351144",
            "country_code": "US",
            "telephone_number": "732-351-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLUCCI",
        "first_name": "MIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cogent Anesthesia Providers LLC
• Pamella E Cole, APN
• Alexis Coleman, APN
• Kortnee Lee Coleman
• Collier Services Inc. (Collier Group Home)
• Samantha M Colon, APN
• Comprehensive Family Care
• Christine Condurso, MA CCC/SLP
• Nancy T Conley, R.N.,CNOR,CRNFA
• Jill Leah Consentino, PA-C

• Medical Physician Assistant in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.