Active NPI
Orly Y Costo
- Community/Behavioral Health Agency
- South Ozone Park, NY
National Provider Identifier
1356717755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 087351
- Legal business name
- ORLY Y COSTO
- Practice address
- 10819 Rockaway Blvd
South Ozone Park, NY 11420-1034 - Phone
- (718) 845-2620
- Fax
- (718) 845-9380
- NPI assigned
- Aug 19, 2015
- Last updated
- Aug 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Orly Y Costo, L.M.S.W.
- Title
- Social Worker
- Phone
- (631) 464-2903
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 087351 | NY | Primary |
Addresses
Primary practice location
10819 Rockaway Blvd
South Ozone Park, NY 11420-1034
Mailing address
509 Adams Ave
West Hempstead, NY 11552-2707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00087351 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- Forest Hills, NY
- NPI 1912443375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439942400000",
"number": "1356717755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 ADAMS AVE",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115522707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10819 ROCKAWAY BLVD",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114201034",
"telephone_number": "718-845-2620",
"fax_number": "718-845-9380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORLY Y COSTO",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A",
"authorized_official_last_name": "COSTO",
"authorized_official_first_name": "ORLY",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "631-464-2903",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "L.M.S.W."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "087351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00087351",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.