Active NPI
Beatrice Mary Dicostanzo, GNP
- Gerontology Nurse Practitioner
- East Stroudsburg, PA
National Provider Identifier
1720233471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- F340298-1
- Practice address
- 221 E Brown St
East Stroudsburg, PA 18301-3005 - Phone
- (570) 421-6200
- NPI assigned
- Nov 22, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP008981 | PA | |
| Gerontology Nurse Practitioner | 363LG0600X | F340298-1 | NY | Primary |
Addresses
Primary practice location
221 E Brown St
East Stroudsburg, PA 18301-3005
Mailing address
256 The GLN
Tamiment, PA 18371-9716
Phone (570) 588-7766
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F340298-1 | NY | MD | Gerontology Nurse Practitioner |
| SP008981 | PA | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227312000000",
"number": "1720233471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 THE GLN",
"city": "TAMIMENT",
"state": "PA",
"postal_code": "183719716",
"telephone_number": "570-588-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 E BROWN ST",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013005",
"telephone_number": "570-421-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICOSTANZO",
"first_name": "BEATRICE",
"middle_name": "MARY",
"credential": "GNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-22",
"last_updated": "2008-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP008981",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "F340298-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.