Active NPI
Danielle L. Costello, CPNP
- Pediatric Nurse Practitioner
- Sewell, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 26NJ00507600
- Practice address
- 405 Hurffville Crosskeys Rd Ste 203
Sewell, NJ 08080-9344 - Phone
- (856) 582-0033
- Fax
- (856) 582-2305
- NPI assigned
- Oct 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ00507600 | NJ | Primary |
Addresses
Primary practice location
405 Hurffville Crosskeys Rd Ste 203
Sewell, NJ 08080-9344
Mailing address
405 Hurffville Crosskeys Rd Ste 203
Sewell, NJ 08080-9344
Phone (856) 582-0033
Other practice location 1
3998 Red Lion Rd
Suite 215
Philadelphia, PA 19114-1436
Phone (215) 632-5437
Other practice location 2
1474 Tanyard Road
Suite D102
Sewell, NJ 08080
Phone (856) 566-7045
Other practice location 3
42 E Laurel Rd Ste 3500
Stratford, NJ 08084-1354
Phone (856) 566-7040
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dcostello248967@directvirtua.org | ||
| Direct Messaging Address | dcostello248967@directvirtua.org | ||
| Direct Messaging Address | dcostello248967@directvirtua.org |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00507600 | NJ | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Lawrence S Deutsch MD & Assoc PC | Past | Accepting new patients | |
| Cajulis Pediatrics | Past | Accepting new patients | |
| Rowansom Newjersey Institute for Successful Aging-Geriatric Psychiatry | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373
303 Lippincott Dr
Marlton, NJ 08053
1474 Tanyard Rd
Ste D102
Sewell, NJ 08080
Phone (856) 566-7045
405 Hurffville Crosskeys Rd
Ste 203
Sewell, NJ 08080
Phone (856) 582-0033
42 E Laurel Rd
Ste 3500
Stratford, NJ 08084
Phone (856) 566-7040
42 E Laurel Rd
Ste 2500
Stratford, NJ 08084
Phone (856) 566-7040
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Psychiatry Physician
- Stratford, NJ
- NPI 1881668846
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1932645447
-
- Pediatrics Physician
- Phila, PA
- NPI 1912950734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1194978890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 HURFFVILLE CROSSKEYS RD STE 203",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080809344",
"telephone_number": "856-582-0033",
"fax_number": "856-582-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 HURFFVILLE CROSSKEYS RD STE 203",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080809344",
"telephone_number": "856-582-0033",
"fax_number": "856-582-2305"
}
],
"practiceLocations": [
{
"address_1": "3998 Red Lion Rd",
"address_2": "Suite 215",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191141436",
"country_code": "US",
"telephone_number": "215-632-5437",
"fax_number": "215-824-4114",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1474 Tanyard Road",
"address_2": "Suite D102",
"address_purpose": "LOCATION",
"city": "Sewell",
"state": "NJ",
"postal_code": "08080",
"country_code": "US",
"telephone_number": "856-566-7045",
"fax_number": "856-566-6850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "42 E Laurel Rd Ste 3500",
"address_purpose": "LOCATION",
"city": "Stratford",
"state": "NJ",
"postal_code": "080841354",
"country_code": "US",
"telephone_number": "856-566-7040",
"fax_number": "856-566-6826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSTELLO",
"first_name": "DANIELLE",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NJ00507600",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dcostello248967@directvirtua.org",
"affiliation": "N",
"address_1": "1474 Tanyard Road",
"address_2": "Suite D102",
"city": "Sewell",
"state": "NJ",
"country_code": "US",
"postal_code": "08080",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dcostello248967@directvirtua.org",
"affiliation": "N",
"address_1": "42 E Laurel Rd Ste 2500",
"city": "Stratford",
"state": "NJ",
"country_code": "US",
"postal_code": "080841354",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dcostello248967@directvirtua.org",
"affiliation": "N",
"address_1": "405 Hurffville Crosskeys Rd Ste 203",
"city": "Sewell",
"state": "NJ",
"country_code": "US",
"postal_code": "080809344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.