Individual provider Active NPI

Daria Ann Costa, DO

  • Anesthesiology Physician
  • Paterson, NJ
National Provider Identifier
1346418142
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MB08909500 Issued in NJ
Practice address
703 Main St
St. Joseph'S Regional Medical Center
Paterson, NJ 07503-2621
Phone
(973) 754-2790
Fax
(973) 754-2791
NPI assigned
Feb 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MB08909500 NJ Primary

Addresses

Primary practice location

703 Main St
St. Joseph'S Regional Medical Center
Paterson, NJ 07503-2621

Mailing address

1305 Walt Whitman Rd Ste 300
Melville, NY 11747-4300
Phone (516) 945-3000

Other practice location 1

1124 E Ridgewood Ave
Ridgewood, NJ 07450-3942
Phone (201) 493-2310

Other practice location 2

224 Hamburg Tpke
Wayne, NJ 07470-2168
Phone (973) 942-6900

Other identifiers 2

IdentifierTypeStateIssuer
0265128MedicaidNJ
P01413005OtherNJRAILROAD MEDICARE

Other names 1

  • Dr. Daria Ann Jacobellis Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110621000557 NJ Practitioner - Anesthesiology 5698953669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia of New Jersey LLCGroup PAC ID 5890867410, 156 clinicians

Practice addresses (Care Compare)

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08909500NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology CurrentSince May 15, 2013 Accepting new patients
New Jersey Anesthesia Group, P.a. Past Accepting new patients

Locations

925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

1124 E Ridgewood Ave
Ridgewood, NJ 07450
Phone (201) 493-2310

246 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 653-3366

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

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.

Hospital & facility affiliations 1

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1346418142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WALT WHITMAN RD STE 300",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474300",
            "telephone_number": "516-945-3000",
            "fax_number": "515-945-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "address_2": "ST. JOSEPH'S REGIONAL MEDICAL CENTER",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2790",
            "fax_number": "973-754-2791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 E Ridgewood Ave",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NJ",
            "postal_code": "074503942",
            "country_code": "US",
            "telephone_number": "201-493-2310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 Hamburg Tpke",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074702168",
            "country_code": "US",
            "telephone_number": "973-942-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTA",
        "first_name": "DARIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB08909500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0265128",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01413005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARIA",
            "last_name": "JACOBELLIS",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.