NPIMap

Individual provider Active NPI

Eric Costanzo, DO

  • Pulmonary Disease Physician
  • Manasquan, NJ
National Provider Identifier
1700977923
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MB07782000 Issued in NJ
Practice address
2640 Highway 70 Ste 6a
Manasquan, NJ 08736-2610
Phone
(732) 528-5900
Fax
(732) 528-0887
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MB07782000 NJ Primary

Addresses

Primary practice location

2640 Highway 70 Ste 6a
Manasquan, NJ 08736-2610

Mailing address

2640 Highway 70 Ste 6a
Manasquan, NJ 08736-2610
Phone (732) 528-5900

Other identifiers 1

IdentifierTypeStateIssuer
0138461MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070726000553 NJ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8921109521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Rutgers New Jersey Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Pulmonary, PAGroup PAC ID 3173593431, 18 clinicians

Practice addresses (Care Compare)

1608 Route 88
Suite 117
Brick, NJ 08724-3044
Phone (732) 775-9075

2640 Hwy 70
Suite 6a
Manasquan, NJ 08736-2610
Phone (732) 775-9075

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Pulmonary, PA Pulmonary Disease CurrentSince Jul 1, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1608 Route 88 W
Ste 117
Brick, NJ 08724
Phone (732) 775-9075

180 White Rd
Ste 102
Little Silver, NJ 07739
Phone (732) 497-4474

2640 Highway 70
Ste 6A
Manasquan, NJ 08736
Phone (732) 528-5900

301 Bingham Ave
Ste B
Ocean, NJ 07712
Phone (732) 575-1100

301 Bingham Ave
Ste 1B
Ocean, NJ 07712
Phone (732) 775-9075

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJHEDD
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.351

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1700977923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 HIGHWAY 70 STE 6A",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362610",
            "telephone_number": "732-528-5900",
            "fax_number": "732-528-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 HIGHWAY 70 STE 6A",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362610",
            "telephone_number": "732-528-5900",
            "fax_number": "732-528-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTANZO",
        "first_name": "ERIC",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MB07782000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138461",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.