Active NPI
Mary F. Costigan, D.M.D.
- Prosthodontics
- Orangeburg, NY
National Provider Identifier
1962614537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 049520-1
- Practice address
- 523 Route 303
Orangeburg, NY 10962 - Phone
- (845) 359-0407
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 049520-1 | NY | Primary |
Addresses
Primary practice location
523 Route 303
Orangeburg, NY 10962
Mailing address
2 Forge Gate Drive
Unit H-8
Cold Spring, NY 10516
Phone (845) 265-3087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049520-1 | NY | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan Gellis, DDS, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Orangeburg, NY
- NPI 1497473755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962614537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 FORGE GATE DRIVE",
"address_2": "UNIT H-8",
"city": "COLD SPRING",
"state": "NY",
"postal_code": "10516",
"telephone_number": "845-265-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 ROUTE 303",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "10962",
"telephone_number": "845-359-0407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTIGAN",
"first_name": "MARY",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "049520-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, NY
Sources for this page
- 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.