Stephen John Costa, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X0C031 Issued in NY

Practice address

22 Albert St
Staten Island, NY 10301-4102

Phone

(718) 981-3575

Fax

(718) 981-3574

NPI assigned

Mar 21, 2007

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649396060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ALBERT ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014102",
            "telephone_number": "718-981-3575",
            "fax_number": "718-981-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ALBERT ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014102",
            "telephone_number": "718-981-3575",
            "fax_number": "718-981-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "STEPHEN",
        "middle_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0C031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Costa
• Kimberly Costa
• Lorraine Costa, PT
• Michael Louis Costa, DMD
• Natalie Rose Costa, MA, LMHC
• Michelle Costagliola, CCC-SLP
• Ralph Thomas Costagliola, D.D.S.
• Alyssa Costantino
• Francesca M Costanza
• Anthony Thomas Costanzo, PTA

• Chiropractor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Chiropractor in New York

• 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.
• 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.