Individual provider Active NPI

Paul M Kostoulakos, D.O.

  • Neurology Physician
  • Plainsboro, NJ
National Provider Identifier
1982817326
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MB08220200 Issued in NJ
Practice address
1 Plainsboro Road
Plainsboro, NJ 08536-1913
Phone
(732) 300-7606
Fax
(732) 774-6816
NPI assigned
May 8, 2007
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MB08220200 NJ Primary

Addresses

Primary practice location

1 Plainsboro Road
Plainsboro, NJ 08536-1913

Mailing address

66 W Gilbert St
Red Bank, NJ 07701
Phone (732) 300-7606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20071030000391 NJ Practitioner - NeurologyPractitioner - Psychiatry 0345337994 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
University of New England, College of Osteo Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shore Specialty ConsultantsGroup PAC ID 1951613652, 42 clinicians
Monmouth-Ocean Neurology PCGroup PAC ID 0143112599, 8 clinicians
Cape Physicians Associates PAGroup PAC ID 0749333730, 14 clinicians
Caring Neurology LLCGroup PAC ID 6002162898, 10 clinicians

Practice addresses (Care Compare)

1 E New York Ave
4TH Floor SPG Admin
Somers Point, NJ 08244-2300

1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (609) 853-6049

100 Medical Ctr Way
3Rd Floor
Somers Point, NJ 08244-2300
Phone (609) 653-3585

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 597-6011

190 Jack Martin Blvd
BLDG B3
Brick, NJ 08724-7728
Phone (732) 774-8282

1944 Corlies Ave
Suite 206
Neptune, NJ 07753-4863

1944 Corlies Ave
Suite 206
Neptune, NJ 07753-5197
Phone (732) 774-8282

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1944 State Route 33
Suite 206
Neptune, NJ 07753-4863

1945 Route 33
Neptune, NJ 07753

2 Stone Harbor Blvd
Cape May Court House, NJ 08210-2138
Phone (609) 463-2000

3600 Route 66
FL 3
Neptune, NJ 07753

4 W Roosevelt Blvd
Marmora, NJ 08223-1441
Phone (609) 814-9550

55 -77 Schanck Rd
Suite B 11
Freehold, NJ 07728-2964
Phone (732) 515-6155

600 River Ave
Lakewood, NJ 08701-5237
Phone (732) 363-1900

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7901

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 431-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
93.22 of 100Reported as apm
Quality
83.82
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.15 of 100Reported as group
Quality
61.9
Promoting interoperability
97
Improvement activities
40
Cost
67.78

Merit-based Incentive Payment System (MIPS)

Final score
86.93 of 100Reported as group
Quality
82.11
Promoting interoperability
100
Improvement activities
40
Cost
68.95

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey PC Neurology CurrentSince Jul 18, 2024 Accepting new patients
Newark Vein and Vascular Center LLC CurrentSince Jun 1, 2020 Accepting new patients
Salerno Medical Associates, LLC CurrentSince Jul 15, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Subacute Medical Associates CurrentSince Feb 1, 2021 Accepting new patients
Call to Care LLC CurrentSince Mar 1, 2020 Accepting new patients
Roseville Medical Society LLC CurrentSince Apr 17, 2020 Accepting new patients
Holmdel Physician Associates CurrentSince Sep 18, 2022 Accepting new patients
Caring Neurology LLC Neurology CurrentSince Aug 12, 2018 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jul 18, 2024 Accepting new patients
Monmouth-Ocean Neurology PC CurrentSince Jul 1, 2007 Accepting new patients
North Ward Medical Arts LLC CurrentSince Mar 7, 2020 Accepting new patients
Shore Specialty Consultants CurrentSince Mar 1, 2023 Accepting new patients
Neurophysiology Labs Past Accepting new patients
Practice Associates Medical Group PastSince Jun 22, 2021 Accepting new patients

Locations (25 of 26)

190 Jack Martin Blvd
Bldg B3
Brick, NJ 08724
Phone (732) 774-4554

110 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-6600

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

613 Park Ave
Fl 1
East Orange, NJ 07017
Phone (973) 556-0955

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

4 W Roosevelt Blvd
Marmora, NJ 08223
Phone (609) 365-6202

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1944 State Route 33
Ste 206
Neptune, NJ 07753

1944 Corlies Ave
Ste 206
Neptune City, NJ 07753
Phone (732) 774-8282

346 Roseville Ave
Newark, NJ 07107
Phone (973) 482-7245

485 Mount Prospect Ave
Fl 1
Newark, NJ 07104
Phone (973) 485-6433

523 Park Ave
Orange, NJ 07050
Phone (862) 229-1516

523 Park Ave
Ste B
Orange, NJ 07050
Phone (862) 229-1516

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

5 Plainsboro Rd
Ste 360
Plainsboro, NJ 08536
Phone (215) 662-4212

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

649 Shore Rd
Somers Point, NJ 08244
Phone (609) 365-6239

700 Shore Rd
Somers Point, NJ 08244
Phone (609) 365-6212

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJFEBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: paul.kostoulakos.1@4024.direct.athenahealth.com
  • Direct secure messaging: paul.kostoulakos@direct.hackensackmeridian.org
  • Direct secure messaging: pkostoulakos187563@direct.cooperhealth.edu
  • Direct secure messaging: pkostoulakos425237@direct.ahsys.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1982817326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W GILBERT ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-300-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PLAINSBORO ROAD",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361913",
            "telephone_number": "732-300-7606",
            "fax_number": "732-774-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTOULAKOS",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MB08220200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

Verify at the official NPI Registry.