Active NPI
Jennifer L Costa, AUD.
- Audiologist
- Port Jefferson Station, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2240
- Practice address
- 1500 Ny-112
Building 4, 2ND Floor
Port Jefferson Station, NY 11776 - Phone
- (631) 928-0188
- NPI assigned
- Nov 14, 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2240 | NY | Primary |
Addresses
Primary practice location
1500 Ny-112
Building 4, 2ND Floor
Port Jefferson Station, NY 11776
Mailing address
660 White Plains Rd FL 4
Tarrytown, NY 10591-5187
Phone (914) 984-2552
Other names 1
- Miss Jennifer L Borkowski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Route 112
BLDG 4
Port Jefferson Station, NY 11776-8055
Phone (631) 928-0188
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.45 of 100
- Quality
- 89.91
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002240 | NY | MD | Acupuncturist |
| 2240 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates LLP | Current | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients | |
| Ear, Nose & Throat Associates of New York,P.C. | Past | Accepting new patients |
Locations
400 W Main St
Ste 200
Babylon, NY 11702
Phone (631) 893-6070
240 Patchogue Yaphank Rd
Ste 1
East Patchogue, NY 11772
Phone (631) 654-0550
2929 Express Dr N
Ste 225
Islandia, NY 11749
Phone (631) 665-2430
115 Broadhollow Rd
Ste 150
Melville, NY 11747
146A Manetto Hill Rd
Ste 200
Plainview, NY 11803
Phone (516) 931-5353
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
400 Old Country Rd
Ste 16
Riverhead, NY 11901
Phone (631) 574-3419
365 County Road 39A
Unit 3
Southampton, NY 11968
Phone (631) 283-1142
660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546
1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
-
- Facial Plastic Surgery Physician
- Fresh Meadows, NY
- NPI 1124079769
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1205080413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WHITE PLAINS RD FL 4",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915187",
"telephone_number": "914-984-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 NY-112",
"address_2": "BUILDING 4, 2ND FLOOR",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "11776",
"telephone_number": "631-928-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "AUD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-14",
"last_updated": "2024-03-22",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "2240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "BORKOWSKI",
"middle_name": "L",
"prefix": "MISS",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.