Active NPI
Karen Costley, MD
- Internal Medicine Physician
- New City, NY
National Provider Identifier
1417935651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 164004
- Practice address
- 345 N Main St
New City, NY 10956-4305 - Phone
- (845) 634-6500
- Fax
- (845) 634-9424
- NPI assigned
- Jan 6, 2006
- Last updated
- Dec 16, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 164004 | NY | Primary |
Addresses
Primary practice location
345 N Main St
New City, NY 10956-4305
Mailing address
17 Squadron Blvd
Suite 400
New City, NY 10956-5214
Phone (845) 634-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01220144 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Rockland | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pomona, NY
- NPI 1518977164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1417935651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 SQUADRON BLVD",
"address_2": "SUITE 400",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109565214",
"telephone_number": "845-634-6500",
"fax_number": "845-634-9424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 N MAIN ST",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109564305",
"telephone_number": "845-634-6500",
"fax_number": "845-634-9424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTLEY",
"first_name": "KAREN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-06",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "164004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01220144",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.