Active NPIIndividual providerSole proprietor

Dr. Antoinette G Costa, MD

Internal Medicine, Geriatric Medicine in East Orange, New Jersey

NPI Number1790791671
Practice location
385 Tremont Ave, East Orange, NJ 07018-1023
Fax
973-395-7010
Last updated
July 8, 2007

Antoinette Geraldine Costa is an Internal Medicine, Geriatric Medicine based in East Orange, NJ. Antoinette Geraldine Costa practices in East Orange, NJ and has the professional credentials of MD. The NPI Number for Antoinette Geraldine Costa is 1790791671 and holds a License No. 25 MA 04272000 (NJ). The current practice location address for Antoinette Geraldine Costa is 385 Tremont Ave, East Orange, NJ 07018-1023 and can be reached out via phone at 973-676-1000 and via fax at 973-395-7010.

Provider Profile Details

NPI Number
1790791671
Provider Name
Antoinette Geraldine Costa
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
385 Tremont Ave, East Orange, NJ 07018-1023
Phone Number
973-676-1000
Fax Number
973-395-7010
Primary Taxonomy
Internal Medicine, Geriatric Medicine · 207RG0300X
Sole Proprietor
Yes
Provider Enumeration Date
July 31, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
385 Tremont Ave
East Orange, NJ 07018-1023
Zip
07018-1023
Phone Number
973-676-1000
Fax Number
973-395-7010
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
181 Mcmane Ave
Berkeley Heights, NJ 07922-2202
City
Berkeley Heights
State
NJ
Zip
07922-2202
Phone Number
908-665-2087

License Information

License Number
25 MA 04272000
License State
NJ
Taxonomy
Internal Medicine, Geriatric Medicine · 207RG0300X · 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 Dr. Antoinette G Costa, MD?

The NPI number of Dr. Antoinette G Costa, MD is 1790791671. It was assigned on July 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Antoinette G Costa, MD?

Dr. Antoinette G Costa, MD is registered under the primary taxonomy Internal Medicine, Geriatric Medicine (code 207RG0300X), licensed in NJ under license number 25 MA 04272000.

Where does Dr. Antoinette G Costa, MD practice?

The practice location is 385 Tremont Ave, East Orange, NJ 07018-1023. The office can be reached at 973-676-1000 (phone) or 973-395-7010 (fax).

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 1790791671 directly on the NPPES registry website.

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