Robert Peter Costomiris, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA03467100 Issued in NJ

Practice address

331 Grand St
Hoboken, NJ 07030-2719

Phone

(201) 659-0942

Fax

(201) 659-1483

NPI assigned

Aug 31, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rcostomiris@direct.hobokenumc.md

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

• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545

  Cardiovascular Disease

  Medicare reassignment NPD
• Humc Opco LLC

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668
  NPD
• St. Mary Cardiology Associates

  • Cardiovascular Disease Physician
  • Hoboken, NJ
  • NPI 1477690527
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649382540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 GRAND ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302719",
            "telephone_number": "201-659-0942",
            "fax_number": "201-659-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 GRAND ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302719",
            "telephone_number": "201-659-0942",
            "fax_number": "201-659-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTOMIRIS",
        "first_name": "ROBERT",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA03467100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1644203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Ghulammohd Contractor, MD
• Lauren Conway, M.A., BCBA
• Vanessa Correia, PT, DPT
• Marianela Cortes, LCSW
• Meghan Costa, PSY.D.
• Edward T Cotton
• Counseling and Wellness Institute
• Craft Physical Therapy, LLC
• Carl F Cricco Jr., MD
• Gabrielle Crisafulli, LAC

• Cardiovascular Disease Physician in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.