Individual provider Active NPI

Karen Cinquemani Costa, DPT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1104240977
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037327-1 Issued in NY
Practice address
2460 Victory Blvd.
Staten Island, NY 10314
Phone
(718) 981-3575
Fax
(718) 981-3574
NPI assigned
Feb 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037327-1 NY Primary

Addresses

Primary practice location

2460 Victory Blvd.
Staten Island, NY 10314

Mailing address

2460 Victory Blvd.
Staten Island, NY 10314
Phone (718) 981-3575

Other names 1

  • Karen Cinquemani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140417001743 NY Practitioner - Physical Therapist in Private Practice 0446482830 Reassigns benefits to 1 organization
Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2460 Victory Blvd
Staten Island, NY 10314-6612
Phone (718) 981-3575

346 Oakdale St
Staten Island, NY 10312-5119

3993 Richmond Ave
Staten Island, NY 10312-5112
Phone (718) 317-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037327-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Physical Therapy Rehabilitation PC CurrentSince Mar 2, 2014 Accepting new patients

Locations

70 New Dorp Plz S
Staten Island, NY 10306
Phone (718) 351-0030

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1104240977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 VICTORY BLVD.",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-981-3575",
            "fax_number": "718-981-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 VICTORY BLVD.",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-981-3575",
            "fax_number": "718-981-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINQUEMANI COSTA",
        "first_name": "KAREN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037327-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "CINQUEMANI",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.