Carmen Silvia Costas-Katz, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

203363 Issued in NY

Practice address

625 E Fordham Rd
Bronx, NY 10458-5049

Phone

(718) 933-1900

Fax

(718) 563-4039

NPI assigned

Dec 14, 2006

Last updated

Jan 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Family Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sciometrix IncGroup PAC ID 9335511443, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carmenc@hillsidepolymedic.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sciometrix Inc

  • General Practice Physician
  • Staten Island, NY
  • NPI 1457065591
  Medicare reassignment Care Compare group NPD
• Medalliance Medical Health Services Inc

  • Clinic/Center
  • Bronx, NY
  • NPI 1558356741
  Medicare reassignment NPD
• Lafayette Medical Office, PC

  • Podiatrist
  • Brooklyn, NY
  • NPI 1912004995

  Family Medicine

  NPD (past)
• Ocean Medical Care PC

  • Family Medicine Physician
  • Belle Harbor, NY
  • NPI 1336124536
  NPD (past)
• S.P.O.R.T. Physical Therapy Clinic

  • Physical Therapy Clinic/Center
  • Lewiston, ID
  • NPI 1215011754
  NPD (past)
• Sciometrix LLC

  • General Practice Physician
  • Royal Oak, MI
  • NPI 1619649894
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1407918675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 BEACH 95 ST",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "11693",
            "telephone_number": "718-634-9384",
            "fax_number": "718-318-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585049",
            "telephone_number": "718-933-1900",
            "fax_number": "718-563-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTAS-KATZ",
        "first_name": "CARMEN",
        "middle_name": "SILVIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "203363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "203363",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01843672",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Costa, MD
• Vincent Costa, M.D.
• Virginia C Costagliola, RPA-C
• Monica Costantino
• Christine Ann Costanza, PA-C
• Costco Wholesale Corporation
• Christina Chloe Costeas, MD
• Robert Costisevschi
• Kathryn Cote, MD, MPH
• Kayley Erin Cote

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.

Verify at the official NPI Registry.