Individual provider Active NPI

Margaret Cecelia Rizzuto - Costa, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville Centre, NY
National Provider Identifier
1295713097
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400564 Issued in NY
Practice address
42 Seaman Ave
Rockville Centre, NY 11570-3129
Phone
(516) 764-5401
NPI assigned
Jan 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400564 NY Primary

Addresses

Primary practice location

42 Seaman Ave
Rockville Centre, NY 11570-3129

Mailing address

42 Seaman Ave
Rockville Centre, NY 11570-3129
Phone (516) 764-5401

Other identifiers 1

IdentifierTypeStateIssuer
02474344MedicaidNY

Other names 1

  • Ms. Margaret Cecelia Rizzuto Costa Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
F400564NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1295713097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SEAMAN AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703129",
            "telephone_number": "516-764-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 SEAMAN AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703129",
            "telephone_number": "516-764-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZUTO - COSTA",
        "first_name": "MARGARET",
        "middle_name": "CECELIA",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02474344",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "RIZZUTO COSTA",
            "middle_name": "CECELIA",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.