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

Michael Colucciello III, MD

Individual provider Ophthalmology Physician · NPI 1215934146

Michael Colucciello III, MD is an Ophthalmology in Moorestown, New Jersey. Graduated from State University of Ny Upstate Medical University in 1986, 40 years ago. Practices with Associated Retinal Consultants LLC, a 115-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
40
Trained at
State University of Ny Upstate Medical University
Licensed in
NJ, PA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

509 S Lenola Rd Ste 11A
Moorestown, NJ 08057-1561
Phone: (856) 234-0258
Fax: (856) 727-9518
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 25 Homestead Dr Ste A, Columbus, NJ 08022-1005 — (609) 298-0888
  • 103 Old Marlton Pike Ste 216, Medford, NJ 08055-8772 — (609) 714-8761

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 25MA06592100 (NJ)
Ophthalmology Physician Taxonomy 207W00000X · Licence MD041676L (PA)

Record details

NPI number1215934146
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1986 (40 years in practice)
Group practice Associated Retinal Consultants Llc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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