John J. Costello, Jr, DO, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

JOHN J. COSTELLO, JR, DO, PLLC

Practice address

578 Seneca St
Oneida, NY 13421-2600

Phone

(315) 363-1110

Fax

(315) 363-4441

NPI assigned

May 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John J. Costello, Jr Jr., MD

Title

Physician/ Owner

Phone

(315) 363-1110

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Costello Eye Physicians and Surgeons2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Costello Eye Physicians & Surgeons, PLLC

  • Ophthalmology Physician
  • Oneida, NY
  • NPI 1699785832
  NPD tax ID

Locations

Practitioners 4

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.

• Dinesh J Bhat, MD

  • Urology Physician
  • Cooperstown, NY
  • NPI 1457380321
  NPD (past)
• John J Costello Jr., DO

  • Ophthalmology Physician
  • Oneida, NY
  • NPI 1487650743
  NPD (past)
• Anthony V. Deiorio, MD

  • Family Medicine Physician
  • Utica, NY
  • NPI 1780636910
  NPD (past)
• Jane Samson, MD

  • Family Medicine Physician
  • New Hartford, NY
  • NPI 1083718712
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609829662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST",
            "address_2": "SUITE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042859",
            "telephone_number": "315-472-1488",
            "fax_number": "315-476-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 SENECA ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212600",
            "telephone_number": "315-363-1110",
            "fax_number": "315-363-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. COSTELLO, JR, DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COSTELLO, JR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "315-363-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01896079",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica M Jeannotte, RN
• Andrew Jennings
• Jessica Jeong, P.A.
• Jerome E Brislin OD PC
• Jerry L Baker
• April Anne Johnson, LPN
• Jessica L Johnson, LPN
• Keith Ewing Johnson, MD
• Amy L Jones, RN
• David Michael Jones, PHARM.D., BCPS

• Ophthalmology Physician in Oneida, NY
• Providers in Oneida, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.