NPIMap

Individual provider Active NPI

John Costello, D.O.

  • Clinical Cardiac Electrophysiology Physician
  • Philadelphia, PA
National Provider Identifier
1699037291
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
25MB09657300 Issued in NJ
Practice address
4190 City Ave
Pcom
Philadelphia, PA 19131-1626
Phone
(215) 871-6693
NPI assigned
Jun 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 25MB09657300 NJ Primary

Addresses

Primary practice location

4190 City Ave
Pcom
Philadelphia, PA 19131-1626

Mailing address

4190 City Ave
Pcom
Philadelphia, PA 19131-1626
Phone (215) 871-6693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180206000726 PA Practitioner - Cardiac ElectrophysiologyPractitioner - Internal Medicine 8729376710 Reassigns benefits to 1 organization
I20200415001196 NJ Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 8729376710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Associates of the Delaware Valley,P aGroup PAC ID 9032001284, 94 clinicians

Practice addresses (Care Compare)

111 S 11TH St
2210 Jefferson Center City
Philadelphia, PA 19107-4824
Phone (856) 546-3003

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 546-3003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.34 of 100Reported as group
Quality
78.48
Promoting interoperability
100
Improvement activities
40
Cost
78.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Associates of the Delaware Valley,P a CurrentSince May 1, 2020 Accepting new patients

Locations

525 State St
Ste 3
Elmer, NJ 08318
Phone (856) 358-2362

120 White Horse Pike
Ste 112
Haddon Hgts, NJ 08035
Phone 85654705392215

210 W Atlantic Ave
Haddon Hts, NJ 08035
Phone (856) 546-3003

999 Route 73 N
Ste 205
Marlton, NJ 08053
Phone (856) 795-2227

243 Hurffville Crosskeys Rd
#101
Sewell, NJ 08080
Phone (856) 582-2000

1051 W Sherman Ave
Ste 3A
Vineland, NJ 08360
Phone (856) 691-8070

111 S 11th St
#2210
Philadelphia, PA 19107
Phone (215) 955-7106

Interoperability endpoints

  • Direct secure messaging: john.costello.p1@direct.hearthousenj.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1699037291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE",
            "address_2": "PCOM",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311626",
            "telephone_number": "215-871-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE",
            "address_2": "PCOM",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311626",
            "telephone_number": "215-871-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NJ",
            "license": "25MB09657300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.