Individual provider Active NPI

John J. Costa, M.D.

  • Allergy & Immunology Physician
  • Buzzards Bay, MA
National Provider Identifier
1285633362
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
00000 Issued in MA
Practice address
33 Cohasset Ave
Unit #2
Buzzards Bay, MA 02532-3270
Phone
(508) 759-7555
Fax
(508) 759-7355
NPI assigned
Jul 20, 2005
Last updated
Jun 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 00000 MA Primary

Addresses

Primary practice location

33 Cohasset Ave
Unit #2
Buzzards Bay, MA 02532-3270

Mailing address

33 Cohasset Ave
Unit #2
Buzzards Bay, MA 02532-3270
Phone (508) 759-7555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050527000072 MA Practitioner - Allergy/Immunology 6305888587 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Icahn School of Medicine at Mount Sinai, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbor Medical Associates IncGroup PAC ID 2466356209, 130 clinicians

Practice addresses (Care Compare)

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000

40 Tremont St
Duxbury, MA 02332-5304
Phone (781) 934-6200

56 New Driftway
Scituate, MA 02066-4533
Phone (781) 545-7243

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00000MAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women's Hospital Current Accepting new patients
Harbor Medical Associates, Inc. CurrentSince May 10, 2022 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Jan 1, 2026 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince May 10, 2022 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Coastal Medical Associates Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

33 Cohasset Ave
Ste 2
Buzzards Bay, MA 02532
Phone (508) 295-5572

850 Boylston St
Chestnut Hill, MA 02467
Phone (617) 732-5773

850 Boylston St
Ste 530
Chestnut Hill, MA 02467
Phone (617) 278-0500

850 Boylston St
Ste 540
Chestnut Hill, MA 02467
Phone (617) 278-0300

40 Tremont St
Ste 52
Duxbury, MA 02332
Phone (781) 934-6200

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

15 Corporate Park Dr
Pembroke, MA 02359
Phone (781) 826-8065

56 New Driftway
Scituate, MA 02066
Phone (781) 545-7243

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

Interoperability endpoints

  • Direct secure messaging: costa.john.bwh@direct.partners.masshiway.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1285633362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 COHASSET AVE",
            "address_2": "UNIT #2",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323270",
            "telephone_number": "508-759-7555",
            "fax_number": "508-759-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 COHASSET AVE",
            "address_2": "UNIT #2",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323270",
            "telephone_number": "508-759-7555",
            "fax_number": "508-759-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "JOHN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buzzards Bay, MA

Sources for this page

Verify at the official NPI Registry.