Active NPI
Caitlyn Margaret Costanzo, M.D.
- Surgery Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C1-0026741
- Practice address
- 4745 Ogletown Stanton Rd Ste 216
Newark, DE 19713-2074 - Phone
- (302) 737-5444
- Fax
- (302) 737-2697
- NPI assigned
- Apr 11, 2011
- Last updated
- Jul 10, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD449971 | PA | |
| Surgery Physician | 208600000X | C1-0026741 | DE | Primary |
Addresses
Primary practice location
4745 Ogletown Stanton Rd Ste 216
Newark, DE 19713-2074
Mailing address
1100 Walnut St FL 5
Philadelphia, PA 19107-4944
Phone (215) 955-8666
Other practice location 1
1300 Wolf St Fl 1
Philadelphia, PA 19148
Phone (215) 551-0360
Other practice location 2
1015 Walnut St Ste 620
Philadelphia, PA 19107-5005
Phone (215) 955-6864
Other practice location 3
1100 Walnut St Fl 5
Philadelphia, PA 19107-4944
Phone (215) 955-6750
Other practice location 4
1015 Walnut St Ste 620
Philadelphia, PA 19107-5005
Phone (215) 955-6864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Foulk Rd
Wilmington, DE 19803-2764
4735 Ogletown Stanton Rd
Newark, DE 19713-2072
Phone (302) 623-0200
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
501 W 14TH St
Wilmington, DE 19801-1013
501 W 14TH St FL
6 CCHS Infectious Disease
Wilmington, DE 19801-1013
Phone (302) 320-1300
501 W 14TH St Wilmington Hospital
Wilmington, DE 19801-1013
621 Middletown Odessa Rd
Middletown, DE 19709-9602
Phone (302) 203-2260
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Surgery | Current | Accepting new patients |
| Christiana Care Health Services, Inc | Surgery | Current | Accepting new patients |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Past | Accepting new patients | |
| Christiana Care Health Services, Inc. | Past | Accepting new patients | |
| Colon and Rectal Surgery Associates of Delaware | Past | Accepting new patients |
Locations
4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
1100 Walnut St
Fl 5
Philadelphia, PA 19107
Phone (215) 955-6750
1300 Wolf St
Fl 1
Philadelphia, PA 19148
Phone (215) 551-0360
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Organizations & group practices 7
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.
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
dba CCHS Satellite Offices
- Family Medicine Physician
- Hockessin, DE
- NPI 1134104565
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- Colon & Rectal Surgery Physician
- Newark, DE
- NPI 1245262609
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care Visiting Nurse Association
- Home Health Agency
- Wilmington, DE
- NPI 1437152154
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- General Acute Care Hospital
- Elkton, MD
- NPI 1376523357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1790075737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WALNUT ST FL 5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074944",
"telephone_number": "215-955-8666",
"fax_number": "215-955-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4745 OGLETOWN STANTON RD STE 216",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132074",
"telephone_number": "302-737-5444",
"fax_number": "302-737-2697"
}
],
"practiceLocations": [
{
"address_1": "1300 Wolf St Fl 1",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "19148",
"country_code": "US",
"telephone_number": "215-551-0360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1015 Walnut St Ste 620",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191075005",
"country_code": "US",
"telephone_number": "215-955-6864",
"fax_number": "215-955-2878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Walnut St Fl 5",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074944",
"country_code": "US",
"telephone_number": "215-955-6750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1015 Walnut St Ste 620",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191075005",
"country_code": "US",
"telephone_number": "215-955-6864",
"fax_number": "215-955-2878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSTANZO",
"first_name": "CAITLYN",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD449971",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DE",
"license": "C1-0026741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
- Stephanie M. Corsetti, M.S., C.G.C.
- Mark J Corso, M.D.
- Adrienne Rachel Costa, MSN, FNP-C
- Jane Costanza, O.D.
- Jamie J. Costanzo Brown, FNP
- James Angelo Costanzo, M.D.
- Costco Wholesale Corporation (Costco Optical #246)
- Costco Wholesale Corporation (Costco Pharmacy # 246)
- Costco Wholesale Corporation (Costco Hearing Aid #246)
- Amanda Costello, ATC, LAT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.