David Carl Coletti, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

1270091 Issued in NY

Practice address

415 Second Avenue
Troy, NY 12182

Phone

(518) 235-1181

Fax

(518) 235-1181

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942383658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SECOND AVENUE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12182",
            "telephone_number": "518-235-1181",
            "fax_number": "518-235-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SECOND AVENUE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12182",
            "telephone_number": "518-235-1181",
            "fax_number": "518-235-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLETTI",
        "first_name": "DAVID",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "1270091",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VT",
            "license": "0420005078",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00523717",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CLR Troy LLC (Troy Center for Rehabilitation and Nursing)
• Karen Phebe Cobden
• Toni M Cochis, MASTERS OF EDUCATION
• Casey Cole
• Faye Coleman
• Judith Walker Coletti, MSN
• Collar City Podiatry PLLC (Collar City Podiatry)
• John A Collins, M.D.
• Mary Annelle Collins, PA-C
• Nora Collins

• Surgery Physician in Troy, NY
• Providers in Troy, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.