Mary E Costanza, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

32475 Issued in MA

Practice address

55 Lake Ave N
Department of Hematology/Oncology
Worcester, MA 01655-0002

Phone

(508) 856-3902

NPI assigned

Nov 28, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Umass Memorial Medical Group Inc

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1760445373
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073596656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "address_2": "TURNPIKE STATION",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015450062",
            "telephone_number": "508-334-8815",
            "fax_number": "508-334-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "DEPARTMENT OF HEMATOLOGY/ONCOLOGY",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-856-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTANZA",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "32475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047756",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fernanda Schwab Costa, RN
• Jennifer M Costa, NP
• Joseph W Costa Jr., DMD
• Juliana Costa
• Shawn Costa, M.A., COUNSELING PSY
• Anthony Vincent Costella, DPT
• Amy D. Costigan, M.D.
• Laurie Costigan, PSY.D; LMHC
• Richard P Costigan, PSY.D.
• Allison Emily Cote

• Hematology & Oncology Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Hematology & Oncology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.