John G Costino, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB02575800 Issued in NJ

Practice address

404 Surf Ave
North Wildwood, NJ 08260-5865

Phone

(609) 522-8358

Fax

(609) 729-8662

NPI assigned

Nov 10, 2005

Last updated

Jul 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• John G Costino DO

  • Family Medicine Physician
  • North Wildwood, NJ
  • NPI 1851355374
  NPD (past) Authorized official

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1811978414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SURF AVE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "082605865",
            "telephone_number": "609-522-8358",
            "fax_number": "609-729-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SURF AVE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "082605865",
            "telephone_number": "609-522-8358",
            "fax_number": "609-729-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTINO",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NJ",
            "license": "MB02575800",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB02575800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2808501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of North Wildwood (North Wildwood Fire Dept)
• Coastal Home Health & Rejuvenation
• Steven P Footit, RN
• William Francis Green, MS, CRC, LRC
• Meghan Kathleen Haas, APN
• Mary Ann Haflin, MD
• Island Physical Therapy LLC

• Family Medicine Physician in North Wildwood, NJ
• Providers in North Wildwood, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.