Jamie D. Costello, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

27OA00518400 Issued in NJ

Practice address

53 Kent Rd
Costello Eye Care
Howell, NJ 07731

Phone

(732) 534-5622

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Physicians of Middletown PAGroup PAC ID 8527153410, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optometric Physicians of Middletown PA

  • Optometrist
  • Middletown, NJ
  • NPI 1457354037

  NJ

  Medicare reassignment Care Compare group NPD
• Optometric Physicians of Middletown PA

  • Optometrist
  • Toms River, NJ
  • NPI 1801474960
  NPD
• Optometric Physicians of Middletown PA

  • Optometrist
  • Sea Girt, NJ
  • NPI 1811575061
  NPD
• National Vision, Inc.

  • Optician
  • Casper, WY
  • NPI 1992747554
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1164500112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 VINCENT CT",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199153",
            "telephone_number": "732-974-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 KENT RD",
            "address_2": "COSTELLO EYE CARE",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "07731",
            "telephone_number": "732-534-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "JAMIE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00518400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Health Associates LLC
• Comprehensive Counseling Center, LLC
• Connect Physical Therapy East, P.C.
• Kimberly Ann Conway
• Mason Costeira, LPC, NCC
• John Costello, O.D.
• Lindsay Costello, LPC, LCADC
• Courtesy Medical Transportation Inc
• CPC Behavioral Healthcare, Inc
• CPC Behavioral Healthcare, Inc

• All providers in Howell, NJ
• Corneal and Contact Management Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.