NPIMap

Organization Active NPI

Joseph J. Costello DPM

  • Podiatrist
  • Pittston, PA
National Provider Identifier
1821270521
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC-003054-L Issued in PA
Legal business name
JOSEPH J. COSTELLO DPM
Practice address
45 N Main St
Suite 1
Pittston, PA 18640-1915
Phone
(570) 654-4641
Fax
(570) 654-4642
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Joseph Costello, DPM
Title
Owner
Phone
(570) 654-4641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC-003054-L PA Primary

Addresses

Primary practice location

45 N Main St
Suite 1
Pittston, PA 18640-1915

Mailing address

45 N Main St
Suite 1
Pittston, PA 18640-1915
Phone (570) 654-4641

Other identifiers 1

IdentifierTypeStateIssuer
P00002482OtherRR MCR

National Provider Directory

National Provider Directory

Locations

45 N Main St
Pittston, PA 18640
Phone (570) 654-4641

45 N Main St
#1
Pittston, PA 18640
Phone (570) 654-4641

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1821270521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N MAIN ST",
            "address_2": "SUITE 1",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401915",
            "telephone_number": "570-654-4641",
            "fax_number": "570-654-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N MAIN ST",
            "address_2": "SUITE 1",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401915",
            "telephone_number": "570-654-4641",
            "fax_number": "570-654-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J. COSTELLO DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-654-4641",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC-003054-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00002482",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.