Active NPIIndividual providerSole proprietor

Christine E Costa, MD

Pediatrics in Bergenfield, New Jersey

NPI Number1417311911
Practice location
95 N Washington Ave, Bergenfield, NJ 07621-1751
Fax
—
Last updated
June 3, 2022

Christine Elizabeth Costa is a Pediatrics based in Bergenfield, NJ. Christine Elizabeth Costa practices in Bergenfield, NJ and has the professional credentials of MD. The NPI Number for Christine Elizabeth Costa is 1417311911 and holds a License No. 300652 (NY). The current practice location address for Christine Elizabeth Costa is 95 N Washington Ave, Bergenfield, NJ 07621-1751 and can be reached out via phone at 201-384-0300.

Provider Profile Details

NPI Number
1417311911
Provider Name
Christine Elizabeth Costa
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
95 N Washington Ave, Bergenfield, NJ 07621-1751
Phone Number
201-384-0300
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
April 11, 2016
Last Update Date
June 3, 2022
Certification Date
June 3, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 N Washington Ave
Bergenfield, NJ 07621-1751
Zip
07621-1751
Phone Number
201-384-0300
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
401 Route 73 N Ste 320
Marlton, NJ 08053-3426
City
Marlton
State
NJ
Zip
08053-3426

License Information

License Number (1)
300652
License State (1)
NY
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
25MA11443100
License State (2)
NJ
Taxonomy (2)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Christine E Costa, MD?

The NPI number of Christine E Costa, MD is 1417311911. It was assigned on April 11, 2016 and is currently active in the NPPES registry.

What is the specialty of Christine E Costa, MD?

Christine E Costa, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NY under license number 300652.

Where does Christine E Costa, MD practice?

The practice location is 95 N Washington Ave, Bergenfield, NJ 07621-1751. The office can be reached at 201-384-0300 (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 1417311911 directly on the NPPES registry website.

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