Costa Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0400359534 Issued in NJ

Legal business name

COSTA MEDICAL

Practice address

32 Nassau St
Suite 300
Princeton, NJ 08542-4503

Phone

(609) 558-4254

Fax

(609) 921-8651

NPI assigned

Mar 14, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Suzanne Marie Podolski

Title

Founder/Ceo

Phone

(609) 558-4254

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Abdominal Devices Former legal business name

Locations

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1225379308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 NASSAU ST",
            "address_2": "SUITE 300",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085424503",
            "telephone_number": "609-558-4254",
            "fax_number": "609-921-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 NASSAU ST",
            "address_2": "SUITE 300",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085424503",
            "telephone_number": "609-558-4254",
            "fax_number": "609-921-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "PODOLSKI",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "609-558-4254",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "0400359534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCREDITATION AWARD",
            "identifier": "QDTJG2TY5",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abdominal Devices",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cornerstone Eye Care LLC
• Donald Corr, PSY.D.
• Melanie Jane Correnti, LAC
• Jessica M Corrigan, PSYD
• Nina Cosgrove, M.S., CCC-SLP
• Danielle Costanzo
• Lauren E Costello, MD
• John M Cotton, MD
• Counseling for Resilience
• Arielle Marie Couso, MOT, OTR/L

• Durable Medical Equipment & Medical Supplies in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.