Active NPI
Shonette Margaret Latoya Miller- Costen, NP
- Adult Health Nurse Practitioner
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 304456
- Practice address
- 22219 Linden Blvd
Jamaica, NY 11411-1605 - Phone
- (718) 765-6055
- Fax
- (347) 808-4948
- NPI assigned
- Sep 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 304456 | NY | Primary |
Addresses
Primary practice location
22219 Linden Blvd
Jamaica, NY 11411-1605
Mailing address
PO Box 746087
Atlanta, GA 30374-6087
Phone (312) 733-9730
Other practice location 1
24102 Memphis Ave
Rosedale, NY 11422-2019
Phone (718) 276-0008
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- New York University College of Dentistry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22219 Linden Blvd
Jamaica, NY 11411-1605
Phone (718) 765-6055
Hospital & facility affiliations
- VNS of Ny Home Care Chha
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Ion Oltean Physician PC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Griffin Myers Medical, P.C. | Current | Accepting new patients | |
| Ny Family Practice Physicians, PC | Current | Accepting new patients |
Locations
22 Robert R Kasin Way
Beacon, NY 12508
Phone (845) 231-5792
455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550
3515 Parsons Blvd
Flushing, NY 11354
Phone (718) 961-3500
13966 35th Ave
Flushing, NY 11354
Phone (718) 961-5300
22219 Linden Blvd
Jamaica, NY 11411
Phone (718) 765-6055
11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000
11208 Springfield Blvd
Queens Village, NY 11429
Phone (929) 430-3811
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Brooklyn, NY
- NPI 1780209445
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Internal Medicine Physician
- Bayside, NY
- NPI 1912236811
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
-
- Primary Care Clinic/Center
- Woodhaven, NY
- NPI 1790936854
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- New York, NY
- NPI 1528059805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1770770323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746087",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746087",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22219 LINDEN BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114111605",
"telephone_number": "718-765-6055",
"fax_number": "347-808-4948"
}
],
"practiceLocations": [
{
"address_1": "24102 Memphis Ave",
"address_purpose": "LOCATION",
"city": "Rosedale",
"state": "NY",
"postal_code": "114222019",
"country_code": "US",
"telephone_number": "718-276-0008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER- COSTEN",
"first_name": "SHONETTE",
"middle_name": "MARGARET LATOYA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "304456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.