Active NPI
Daria Ann Costa, DO
- Anesthesiology Physician
- Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MB08909500
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0265128 | Medicaid | NJ | |
| P01413005 | Other | NJ | RAILROAD MEDICARE |
Other names 1
- Dr. Daria Ann Jacobellis
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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB08909500 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia of New Jersey LLC | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
-
- Pain Medicine (Anesthesiology) Physician
- Paterson, NJ
- NPI 1669467049
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.