Active NPI
Meghan Ryan Costa, P.A.
- Medical Physician Assistant
- Syracuse, NY
National Provider Identifier
1255605697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 015310-1
- Practice address
- 736 Irving Ave
Suite 9100 Neonatal Associates of Central New York P.C.
Syracuse, NY 13210 - Phone
- (315) 470-7379
- Fax
- (315) 470-2923
- NPI assigned
- Mar 2, 2012
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 015310-1 | NY | Primary |
Addresses
Primary practice location
736 Irving Ave
Suite 9100 Neonatal Associates of Central New York P.C.
Syracuse, NY 13210
Mailing address
736 Irving Ave
Suite 910 Neonatal Associates of Central New York P.C.
Syracuse, NY 13210-1690
Phone (315) 470-7379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015310-1 | Other | NY | NEW YORK STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015310-1 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neonatal Medical Transport PLLC | Past | Accepting new patients | |
| Neonatal Associates of Central New York PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Neonatal-Perinatal Medicine Physician
- Syracuse, NY
- NPI 1225253271
-
- Personal Emergency Response Attendant
- Syracuse, NY
- NPI 1558586511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1255605697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 IRVING AVE",
"address_2": "SUITE 910 NEONATAL ASSOCIATES OF CENTRAL NEW YORK P.C.",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101690",
"telephone_number": "315-470-7379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 IRVING AVE",
"address_2": "SUITE 9100 NEONATAL ASSOCIATES OF CENTRAL NEW YORK P.C.",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "315-470-7379",
"fax_number": "315-470-2923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "MEGHAN",
"middle_name": "RYAN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-02",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "015310-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE LICENSE",
"identifier": "015310-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.