Deanna Nicole Costarelli Dragone, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01364600 Issued in NJ

Practice address

357 Prospect Ave
Hackensack, NJ 07601-2519

Phone

(551) 309-3555

NPI assigned

Sep 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1831810621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LINDEN ST",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812735",
            "telephone_number": "201-312-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012519",
            "telephone_number": "551-309-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGONE",
        "first_name": "DEANNA",
        "middle_name": "NICOLE COSTARELLI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01364600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Richard D Santucci DC PA
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• Dr. Dental
• Dr. Robert Destefano Chiropractic and Associates LLC
• Daniel Claudio Dragone, MD
• Michael Joseph Dragone, MD
• Sergio Dino Dragone, MD
• Tamara Drazin, MS
• Richard Edward Drew, PH.D.
• Morrisa Drobnick, LCSW

• Family Nurse Practitioner in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.