Individual provider Active NPI

Peter N Costas, DMD

  • Dentist
  • Flemington, NJ
National Provider Identifier
1205822129
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI009913 Issued in NJ
Practice address
111 Main St
Flemington, NJ 08822-1615
Phone
(908) 788-6985
NPI assigned
Sep 26, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI009913 NJ Primary

Addresses

Primary practice location

111 Main St
Flemington, NJ 08822-1615

Mailing address

PO Box 1116
111 Main St
Flemington, NJ 08822-5016
Phone (908) 788-6985

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150113000216 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4385968775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI009913NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205822129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1116",
            "address_2": "111 MAIN ST",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225016",
            "telephone_number": "908-788-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MAIN ST",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221615",
            "telephone_number": "908-788-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTAS",
        "first_name": "PETER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI009913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.