Active NPIIndividual provider

Michael Colucciello III, MD

Ophthalmology in Moorestown, New Jersey

NPI Number1215934146
Practice location
509 S Lenola RD Ste 11A, Moorestown, NJ 08057-1561
Fax
856-727-9518
Last updated
October 29, 2026

Michael Colucciello is an Ophthalmology based in Moorestown, NJ. Michael Colucciello practices in Moorestown, NJ and has the professional credentials of MD. The NPI Number for Michael Colucciello is 1215934146 and holds a License No. 25MA06592100 (NJ). The current practice location address for Michael Colucciello is 509 S Lenola RD Ste 11A, Moorestown, NJ 08057-1561 and can be reached out via phone at 856-234-0222 and via fax at 856-727-9518.

Provider Profile Details

NPI Number
1215934146
Provider Name
Michael Colucciello
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
509 S Lenola RD Ste 11A, Moorestown, NJ 08057-1561
Phone Number
856-234-0222
Fax Number
856-727-9518
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Provider Enumeration Date
July 7, 2005
Last Update Date
October 29, 2026
Certification Date
October 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
509 S Lenola RD Ste 11A
Moorestown, NJ 08057-1561
Zip
08057-1561
Phone Number
856-234-0222
Fax Number
856-727-9518
Moorestown, NJ 08057Get directions →

Provider Business Mailing Address Details

Address
420 Mountain Ave Fl 4
New Providence, NJ 07974-2736
City
New Providence
State
NJ
Zip
07974-2736
Phone Number
908-458-8333
Fax Number
908-530-6522

License Information

License Number
25MA06592100
License State
NJ
Taxonomy
Ophthalmology · 207W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael Colucciello III, MD?

The NPI number of Michael Colucciello III, MD is 1215934146. It was assigned on July 7, 2005 and is currently active in the NPPES registry.

What is the specialty of Michael Colucciello III, MD?

Michael Colucciello III, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in NJ under license number 25MA06592100.

Where does Michael Colucciello III, MD practice?

The practice location is 509 S Lenola RD Ste 11A, Moorestown, NJ 08057-1561. The office can be reached at 856-234-0222 (phone) or 856-727-9518 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215934146 directly on the NPPES registry website.

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