Individual provider Active NPI

Danielle L. Costello, CPNP

  • Pediatric Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1194978890
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00507600 Issued in NJ
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

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210408002801 NJ Practitioner - Nurse Practitioner 7911171863 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00507600NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jun 5, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 5, 2023 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.

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

Verify at the official NPI Registry.