Individual provider Active NPI

Margaret Costello, ANP

  • Adult Health Nurse Practitioner
  • Hauppauge, NY
National Provider Identifier
1831352921
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F301009-1 Issued in NY
Practice address
200 Motor Pkwy # C
Hauppauge, NY 11788-5100
Phone
(631) 444-9614
NPI assigned
Jul 8, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F301009-1 NY Primary

Addresses

Primary practice location

200 Motor Pkwy # C
Hauppauge, NY 11788-5100

Mailing address

200 Motor Pkwy # C
Hauppauge, NY 11788-5100
Phone (631) 444-9614

Other practice location 1

3001 Expressway Dr N
Islandia, NY 11749-5301
Phone (631) 444-9614

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140514002080 NY Order and Referring Only - Nurse Practitioner 1153544432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F301009-1NYMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: margaret.annunziato@direct.stonybrookmedicine.edu

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831352921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MOTOR PKWY # C",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885100",
            "telephone_number": "631-444-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MOTOR PKWY # C",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885100",
            "telephone_number": "631-444-9614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Expressway Dr N",
            "address_purpose": "LOCATION",
            "city": "Islandia",
            "state": "NY",
            "postal_code": "117495301",
            "country_code": "US",
            "telephone_number": "631-444-9614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301009-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.