Active NPI
Thomas P Costello, D.O.
- Pain Medicine (Anesthesiology) Physician
- Fort Lauderdale, FL
National Provider Identifier
1659570331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- OS005840L
- Practice address
- 2710 NE 18TH St
Fort Lauderdale, FL 33305-3606 - Phone
- (267) 884-3858
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | OS6729 | FL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | OS005840L | PA | Primary |
Addresses
Primary practice location
2710 NE 18TH St
Fort Lauderdale, FL 33305-3606
Mailing address
2710 NE 18TH St Ste a
Fort Lauderdale, FL 33305-3606
Phone (267) 884-3858
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS6729 | FL | MD | Pain Medicine (Anesthesiology) Physician |
| OS005840L | PA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trevose Specialty Care Surgical Center, LLC | Current | Accepting new patients | |
| Eastern Regional Pain MGT | Pain Medicine | Past | Accepting new patients |
Locations
4979 Old Street Rd
Ste 1A
Trevose, PA 19053
Phone (215) 953-8882
4979 Old Street Rd
Ste A
Trevose, PA 19053
Phone (215) 732-3450
Organizations & group practices 2
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.
-
- Pain Medicine (Anesthesiology) Physician
- Turnersville, NJ
- NPI 1891004685
-
- Ambulatory Surgical Clinic/Center
- Trevose, PA
- NPI 1740448711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743292800000",
"number": "1659570331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 NE 18TH ST STE A",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333053606",
"telephone_number": "267-884-3858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 NE 18TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333053606",
"telephone_number": "267-884-3858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "THOMAS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2025-03-30",
"certification_date": "2025-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "OS6729",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "OS005840L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.