Joseph Costagliola, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

59942 Issued in MA

Practice address

66 Concord Street
Lahey Wilmington
Wilmington, MA 01887-2127

Phone

(978) 694-9610

Fax

(978) 694-9533

NPI assigned

Jun 2, 2005

Sex

Male

Sole proprietor

No

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Beth Israel Lahey Health Specialty Care, Inc.

  • Internal Medicine Physician
  • Gloucester, MA
  • NPI 1235147760
  Medicare reassignment NPD
• Lahey Clinic, Inc

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1063447316
  Medicare reassignment NPD
• Lahey Clinic, Inc.

  • Internal Medicine Physician
  • Burlington, MA
  • NPI 1538194980
  Medicare reassignment NPD

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1972507242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CONCORD STREET",
            "address_2": "LAHEY WILMINGTON",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872127",
            "telephone_number": "978-694-9610",
            "fax_number": "978-694-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CONCORD STREET",
            "address_2": "LAHEY WILMINGTON",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872127",
            "telephone_number": "978-694-9610",
            "fax_number": "978-694-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTAGLIOLA",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "59942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110045692A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Conway, PT
• Shane Cooney
• Yomarly Cordero
• Justin Cormier, PT
• Pamela D Corrigan, RN MSN NP
• Pamela Jean Cote, R.D.,C.D.E.,L.D.
• Coughlan Mental Health & Wellness, PLLC
• Elizabeth Anne Coulter, PT
• Marcus Alexander Courtemanche
• Matthew R Coyle

• Internal Medicine Physician in Wilmington, MA
• Providers in Wilmington, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.