Active NPI
Jody C. Costanzo, AU.D.
- Audiologist
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1076
- Practice address
- 8877 SE 165TH Mulberry LN
The Villages, FL 32162-5887 - Phone
- (352) 674-1750
- NPI assigned
- Jul 7, 2006
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY1076 | FL | Primary |
Addresses
Primary practice location
8877 SE 165TH Mulberry LN
The Villages, FL 32162-5887
Mailing address
1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8905
Other practice location 1
2910 Brownwood Blvd
The Villages, FL 32163-2032
Phone (352) 674-1790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01056122 | Other | FL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2910 Brownwood Blvd
The Villages, FL 32163-2032
Phone (352) 674-1790
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 91.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 85.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care Vitality Inc | Current | Accepting new patients | |
| The Villages Health System LLC | Current | Accepting new patients | |
| Centerwell Senior Primary Care Vitality Inc | Current | Accepting new patients | |
| Centerwell Senior Primary Care Vitality Inc | Current | Accepting new patients |
Locations
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710
2910 Brownwood Blvd
The Villages, FL 32163
Phone (352) 674-1790
1400 N US Highway 441
Ste 930
The Villages, FL 32159
Phone (352) 750-2108
8877 SE 165th Mulberry Ln
The Villages, FL 32162
Phone (352) 674-1750
2485 Pinellas Pl
The Villages, FL 32163
Phone (352) 674-1720
1020 Lake Sumter Lndg
The Villages, FL 32162
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- General Practice Physician
- The Villages, FL
- NPI 1699012922
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1730076621
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1457223406
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1568334597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1356373732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 LAKE SUMTER LNDG",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321622699",
"telephone_number": "352-674-8905",
"fax_number": "352-674-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8877 SE 165TH MULBERRY LN",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321625887",
"telephone_number": "352-674-1750"
}
],
"practiceLocations": [
{
"address_1": "2910 Brownwood Blvd",
"address_purpose": "LOCATION",
"city": "The Villages",
"state": "FL",
"postal_code": "321632032",
"country_code": "US",
"telephone_number": "352-674-1790",
"fax_number": "352-674-8990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSTANZO",
"first_name": "JODY",
"middle_name": "C.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01056122",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.