Thomas E. Costello, MD, PT, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

267336 Issued in NY

Legal business name

THOMAS E. COSTELLO, MD, PT, PLLC

Practice address

14 Villanova LN
Dix Hills, NY 11746-4841

Phone

(516) 658-2807

NPI assigned

Sep 25, 2015

Organization subpart

No

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

Authorized official

Name

Thomas E Costello, MD

Title

Physician

Phone

(516) 658-2807

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1811367402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 464",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117460374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 VILLANOVA LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464841",
            "telephone_number": "516-658-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E. COSTELLO, MD, PT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-658-2807",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "011915",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "267336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Terjesen, LMSW
• Amanda Jean Thalmann
• Deepa Unnikrishnan Thampy, OTR/L
• The Traveling Physical Therapist
• Tracie Michelle Theotokas, LCSW
• Thomas Physical Therapy PC
• Daniel Vincent Thomas, LCSW
• Paul Mylakkattu Thomas
• Tammie Thomas
• Jennifer Thompson, RN

• Primary Care Clinic/Center in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.