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Michael Costanzo, NP
Primary Care Nurse Practitioner in New Providence, New Jersey
NPI 1245984665

Michael Costanzo is a Primary Care Nurse Practitioner based in Berkeley Heights, NJ and is specialized in Primary Care. Michael Costanzo practices in New Providence, NJ and has the professional credentials of NP. The NPI Number for Michael Costanzo is 1245984665 and holds a License No. 26NJ01265500 (New Jersey).

The current practice location address for Michael Costanzo is 890 Mountain Avenue, New Providence, NJ and can be reached out via phone at 908-277-8668 and via fax at 908-277-8629.

Location: 890 Mountain Avenue, New Providence, NJ, 07922-2104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245984665
Provider Name
Michael Costanzo
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
890 Mountain Avenue, New Providence, NJ, 07922-2104
Phone Number
908-277-8668
Fax Number
908-277-8629
Provider Enumeration Date
02/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
890 Mountain Avenue
City
New Providence
State
New Jersey
Zip
07974
Phone Number
908-277-8668
Fax Number
908-277-8629
person
Provider Business Mailing Address Details
Address
890 Mountain Avenue
City
New Providence
State
New Jersey
Zip
07974
Phone Number
908-277-8668
Fax Number
908-277-8629
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
26NJ01265500 (New Jersey)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
26NJ01265500 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
26NJ01265500 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
26NJ01265500 (New Jersey)
Definition
Definition to come...
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