Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edward Colucci, RPA-C

Individual provider Medical Physician Assistant · NPI 1104196336

Edward Colucci, RPA-C is a Physician Assistant in Brooklyn, New York. Qualified in 2011, 15 years ago. Practices with Excel Urgent Care of Wantagh PLLC, a 39-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2012
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Practice location Address checks out

1421 E 2nd St
Brooklyn, NY 11230-5501
Phone: (718) 645-7337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 015394-1 (NY)

Record details

NPI number1104196336
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJanuary 4, 2012
Last updated in NPPESJanuary 4, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Excel Urgent Care Of Wantagh Pllc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Brooklyn