Ann R Costello MD

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F338797-1 Issued in NY

Legal business name

ANN R COSTELLO MD

Practice address

217 N Aurora St
Ithaca, NY 14850-4345

Phone

(607) 273-2811

Fax

(607) 273-1170

NPI assigned

Jun 25, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ann R Costello, MD

Title

Owner

Phone

(607) 273-2811

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ann R Costello MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Ann R Costello

  • Non-Pharmacy Dispensing Site
  • Ithaca, NY
  • NPI 1144635087
  NPD tax ID
• Ann R. Costello, MD

  • Internal Medicine Physician
  • Ithaca, NY
  • NPI 1528269230
  NPD tax ID

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1679955736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N AURORA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504345",
            "telephone_number": "607-273-2811",
            "fax_number": "607-273-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N AURORA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504345",
            "telephone_number": "607-273-2811",
            "fax_number": "607-273-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN R COSTELLO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-273-2811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338797-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "F338797-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Beth Andrews
• Patricia Mary Andrews, RN MS
• Patrick Cody Anguish, DPT
• Hope Animashaun
• Ann R Costello
• Ann R. Costello, MD
• Hamza Tahir Ansari, M.D.
• Elizabeth Appleton
• Sheila Ariel, DPT
• Magnolia Ariza-Nieto, PH.D.

• Family Nurse Practitioner in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.