Nina L. Coletta DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2615 Issued in FL

Legal business name

NINA L. COLETTA DPM

Practice address

9685 W Broward Blvd
Plantation, FL 33324-2321

Phone

(954) 452-4590

Fax

(954) 452-0509

NPI assigned

Jun 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Nina L. Coletta, DPMNPI 1043329733

Title

President/Owner

Phone

(954) 452-4590

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Nina L Coletta, DPM

  • Podiatrist
  • Plantation, FL
  • NPI 1043329733
  Medicare reassignment NPD Authorized official
• Mikhail Burakovskiy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Kirkland, WA
  • NPI 1902895881

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1992966402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9685 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242321",
            "telephone_number": "954-452-4590",
            "fax_number": "954-452-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9685 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242321",
            "telephone_number": "954-452-4590",
            "fax_number": "954-452-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA L. COLETTA DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "COLETTA",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-452-4590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340238000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Nieves, MD
• Nigel D. Grandison, D.M.D.
• Nigel D. Grandison, DMD
• Nigel D. Grandison, DMD
• Sharon Niles
• Christina Nisivoccia, DMD
• Edikan Nkan, RPH
• NMB Rehab Inc
• Shauntaya Christine Nmekini
• Nadia F Nocera Zachariah, M.D.

• Podiatrist in Plantation, FL
• Providers in Plantation, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.