Louis J Costello, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

X005314 Issued in NY

Practice address

325 Ushers Rd
Ballston Lake, NY 12019-1520

Phone

(518) 877-0234

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Back Again Chiropractic, PLLC

  • Chiropractor
  • Ballston Lake, NY
  • NPI 1265399737
  NPD (past)
• Lorraine del Rosso Chiropractic,Dietetics,and Nutrition,PLLC

  • Nutrition Chiropractor
  • Malta, NY
  • NPI 1275817181
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932279023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 USHERS RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191520",
            "telephone_number": "518-877-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 USHERS RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191520",
            "telephone_number": "518-877-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "LOUIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X005314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "F10034971",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Counselors Inc.
• Brandi Eve Collesides, LMT
• Community Care Physicians, PC (Burnt Hills Pediatrics & Internal Medicine)
• Janette Conerty
• Marion Rose Conway, PT
• Edmund W. Cowie, O.D.
• Caitlyn Marie Crandall, PT, DPT
• Richard Albert Demartino, PSY.D.
• Jenna Elizabeth Desbiens, FNP-BC
• Alicia Marie Desmarais, PHARM. D.

• Sports Physician Chiropractor in Ballston Lake, NY
• Providers in Ballston Lake, NY by specialty
• Sports Physician Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.