Amanda Joan Costarella

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1165 Cassel Ave
Bay Shore, NY 11706-6151

Phone

(516) 459-5383

NPI assigned

Aug 6, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1952038119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 CASSEL AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066151",
            "telephone_number": "516-459-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 CASSEL AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066151",
            "telephone_number": "516-459-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTARELLA",
        "first_name": "AMANDA",
        "middle_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amandacostarellaslp@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Professional EMAIL",
            "address_1": "1165 Cassel Ave",
            "city": "Bay Shore",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117066151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ryan Cornell, DO
• Thomas Corrao, D.M.D.
• Gregory Corso, MS, PA-C
• Adelaide Corvelle
• Howard Corwin, MD
• Nicole Coto
• Casey Greer Cousins
• Brian R Coyle, LMSW
• Denise Karen Cozzetti
• Craig L Levine DDS PC

• Speech-Language Pathologist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.