Individual provider Active NPI

Maria Fausta Costantini-Ferrando, M.D., PH.D

  • Reproductive Endocrinology Physician
  • Basking Ridge, NJ
National Provider Identifier
1861630451
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
244334 Issued in NY
Practice address
140 Allen Rd
Basking Ridge, NJ 07920-2976
Phone
(908) 604-7800
Fax
(973) 290-8370
NPI assigned
Feb 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 244334 NY Primary

Addresses

Primary practice location

140 Allen Rd
Basking Ridge, NJ 07920-2976

Mailing address

140 Allen Rd
Basking Ridge, NJ 07920-2976
Phone (908) 604-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 28, 2024 through Jun 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
244334NYMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Health Inc Past Accepting new patients
Rma of NJ Reproductive Endocrinology Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1861630451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ALLEN RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202976",
            "telephone_number": "908-604-7800",
            "fax_number": "973-290-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ALLEN RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202976",
            "telephone_number": "908-604-7800",
            "fax_number": "973-290-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTANTINI-FERRANDO",
        "first_name": "MARIA",
        "middle_name": "FAUSTA",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "244334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

Verify at the official NPI Registry.