Ralph Thomas Costagliola, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

042842 Issued in NY

Practice address

71 Todt Hill Rd
Suite 106
Staten Island, NY 10314-4534

Phone

(718) 815-3221

Fax

(718) 815-1710

NPI assigned

Oct 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730178120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 TODT HILL RD",
            "address_2": "SUITE 106",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144534",
            "telephone_number": "718-815-3221",
            "fax_number": "718-815-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 TODT HILL RD",
            "address_2": "SUITE 106",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144534",
            "telephone_number": "718-815-3221",
            "fax_number": "718-815-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTAGLIOLA",
        "first_name": "RALPH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "042842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Costa, PT
• Michael Louis Costa, DMD
• Natalie Rose Costa, MA, LMHC
• Stephen John Costa, D.C.
• Michelle Costagliola, CCC-SLP
• Alyssa Costantino
• Francesca M Costanza
• Anthony Thomas Costanzo, PTA
• Costco Wholesale Corporation
• Costco Wholesale Corporation

• Oral and Maxillofacial Surgery (Dentist) in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.