DR. MARIO CHARLES COLLETTI M.D.
NPI 1043449671
Pediatrics - Pediatric Critical Care Medicine in Paterson, NJ

Q: What is Mario Colletti's NPI number?

The NPI number for Mario Colletti is 1043449671. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Q: What is Mario Colletti's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Mario Colletti was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 02, 2009PECOS Enrolled

703 MAIN ST, PATERSON, NJ 07503(973) 972-4300 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 22, 2018, Aug 7, 2017 (2 updates tracked since 2017).

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About Dr. Mario Charles Colletti M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIO CHARLES COLLETTI M.D. (NPI 1043449671) is an individual pediatric critical care medicine provider in Paterson, New Jersey, licensed in New Jersey (25MA10146800) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043449671

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. MARIO CHARLES COLLETTICredential: M.D.

Location Address703 MAIN STPaterson, NJ 07503

Mailing Address7 Berry DrWayne, NJ 07470-3812 · (631) 767-6552

Phone(973) 972-4300

Sole ProprietorNo

Enumeration DateJuly 2, 2009

Last NPPES UpdateJune 22, 20182 updates tracked since enumeration

✔ NPI 1043449671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NJ · 25MA10146800

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

703 MAIN ST, Paterson, NJ 07503

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mario Charles Colletti M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SETAREH SHAMS MD

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