Peter Costa, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N39101 Issued in NY

Practice address

7 Liberty Square Mall
Stony Point, NY 10980-2400

Phone

(845) 429-0520

Fax

(845) 429-0603

NPI assigned

Jan 25, 2006

Last updated

Mar 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Rockland Podiatry PC

  • Foot Surgery Podiatrist
  • Stony Point, NY
  • NPI 1053627463

  NJ

  Medicare reassignment NPD Authorized official
• Peter Costa DPM & Associates Inc

  • Podiatrist
  • Stony Point, NY
  • NPI 1326370560
  NPD (past) Authorized official
• Peter Costa, D.P.M.

  • Podiatrist
  • Stony Point, NY
  • NPI 1548443278
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1629048137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LIBERTY SQUARE MALL",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109802400",
            "telephone_number": "845-429-0520",
            "fax_number": "845-429-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LIBERTY SQUARE MALL",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109802400",
            "telephone_number": "845-429-0520",
            "fax_number": "845-429-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N39101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00901804",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "P41041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Joanne Cole-Hatchard
• Justine Conklin
• Dilenia Del Carmen Corona de Rodriguez, MA, NDPP COACH
• Keane I Cort
• Nicholas Costa
• Corinn Michelle Crawford, MA, BCBA, LBA
• Kaitlin Xiara Cruz
• CVS Albany LLC (CVS Pharmacy # 01087)
• Lynn M Dalton, FNP
• Laurence Robert Danziger, DMD

• Foot Surgery Podiatrist in Stony Point, NY
• Providers in Stony Point, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.