Dr. Gregory A Costello, MD
Family Medicine in Wyckoff, New Jersey
1154411254- Practice location
- 700 Mountain Ave, Wyckoff, NJ 07481-1047
- Phone
- 201-848-8005
- Fax
- —
- Last updated
- December 20, 2007
Gregory Anthony Costello is a Family Medicine based in Wyckoff, NJ. Gregory Anthony Costello practices in Wyckoff, NJ and has the professional credentials of MD. The NPI Number for Gregory Anthony Costello is 1154411254 and holds a License No. 25MA06626300 (NJ). The current practice location address for Gregory Anthony Costello is 700 Mountain Ave, Wyckoff, NJ 07481-1047 and can be reached out via phone at 201-848-8005.
Provider Profile Details
- NPI Number
- 1154411254
- Provider Name
- Gregory Anthony Costello
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 700 Mountain Ave, Wyckoff, NJ 07481-1047
- Phone Number
- 201-848-8005
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 13, 2006
- Last Update Date
- December 20, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 700 Mountain Ave
Wyckoff, NJ 07481-1047 - City
- Wyckoff
- State
- New Jersey
- Zip
- 07481-1047
- Phone Number
- 201-848-8005
Provider Business Mailing Address Details
- Address
- 587 Eder Ave
Franklin Lakes, NJ 07417-3011 - City
- Franklin Lakes
- State
- NJ
- Zip
- 07417-3011
- Phone Number
- 201-847-2422
License Information
- License Number
- 25MA06626300
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Gregory A Costello, MD?
The NPI number of Dr. Gregory A Costello, MD is 1154411254. It was assigned on October 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Gregory A Costello, MD?
Dr. Gregory A Costello, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA06626300.
Where does Dr. Gregory A Costello, MD practice?
The practice location is 700 Mountain Ave, Wyckoff, NJ 07481-1047. The office can be reached at 201-848-8005 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154411254 directly on the NPPES registry website.