Domenico Colletti Jr., PA
Physician Assistant, Medical in Wall, New Jersey
1851805741- Practice location
- 1930 Nj 35, Wall, NJ 07719
- Phone
- 732-456-7777
- Fax
- 732-455-1104
- Last updated
- August 18, 2026
Domenico Colletti is a Physician Assistant, Medical based in Wall, NJ. Domenico Colletti practices in Wall, NJ and has the professional credentials of PA. The NPI Number for Domenico Colletti is 1851805741 and holds a License No. 25MP00450700 (NJ). The current practice location address for Domenico Colletti is 1930 Nj 35, Wall, NJ 07719 and can be reached out via phone at 732-456-7777 and via fax at 732-455-1104.
Provider Profile Details
- NPI Number
- 1851805741
- Provider Name
- Domenico Colletti
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1930 Nj 35, Wall, NJ 07719
- Phone Number
- 732-456-7777
- Fax Number
- 732-455-1104
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 30, 2017
- Last Update Date
- August 18, 2026
- Certification Date
- August 18, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1930 Nj 35
Wall, NJ 07719 - City
- Wall
- State
- New Jersey
- Zip
- 07719
- Phone Number
- 732-456-7777
- Fax Number
- 732-455-1104
Provider Business Mailing Address Details
- Address
- 1930 Nj 35
Wall, NJ 08077-3534 - City
- Wall
- State
- NJ
- Zip
- 08077-3534
- Phone Number
- 732-456-7777
- Fax Number
- 732-455-1104
License Information
- License Number
- 25MP00450700
- License State
- NJ
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Domenico Colletti Jr., PA?
The NPI number of Domenico Colletti Jr., PA is 1851805741. It was assigned on November 30, 2017 and is currently active in the NPPES registry.
What is the specialty of Domenico Colletti Jr., PA?
Domenico Colletti Jr., PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00450700.
Where does Domenico Colletti Jr., PA practice?
The practice location is 1930 Nj 35, Wall, NJ 07719. The office can be reached at 732-456-7777 (phone) or 732-455-1104 (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 1851805741 directly on the NPPES registry website.