THOMAS E COSTELLO (NPI# 1093957342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093957342 |
| Entity Type | Individual |
| Full Name | THOMAS E COSTELLO |
| Credential | M.D. |
| Practice Address |
126 E Main St Ste 1 East Islip NY 11730-2600 |
| Mailing Address |
Po Box 464 Huntington Station NY 11746-0374 |
| Practice Telephone | 6315810090 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 267336 | NY | Allopathic & Osteopathic Physicians |
| N | 225100000X | Physical Therapist | 011915 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679702427 | Thomas Costello | Social Worker | 335 S White St, Wake Forest, NC 27587-2916 | 2009-07-14 |
| 1528194057 | Thomas T Costello | Dentist | 1 Paul Ln, Alexandria, KY 41001-1123 | 2007-02-26 |
| 1770064784 | Thomas Michael Costello Jr. | Technician, Other | 200 E Chestnut St, Louisville, KY 40202-1831 | 2018-08-27 |
| 1659570331 | Thomas P Costello | Anesthesiology | 4979 Old Street Rd, Suite A, Trevose, PA 19053-6222 | 2007-07-13 |
| 1477590560 | Thomas Costello | Radiology | 2020 Palomino Ln, Suite 100, Las Vegas, NV 89106-4894 | 2006-05-31 |
| 1710986781 | Thomas H Costello | Otolaryngology | 100 Tradecenter, Suite 750, Woburn, MA 01801-1851 | 2005-07-20 |
| Street Address |
126 E MAIN ST STE 1 |
| City | EAST ISLIP |
| State | NY |
| Zip Code | 11730-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992763585 | Lawrence L Northorn | Family Medicine | 126 E Main St Ste 1, East Islip, NY 11730-2600 | 2006-05-03 |
| 1811367402 | Thomas E. Costello, Md, Pt, Pllc | Clinic/Center | 126 E Main St Ste 1, East Islip, NY 11730-2600 | 2015-09-25 |
| 1083941181 | Jay B. Stambler Md PC | Specialist | 126 E Main St Ste 1, East Islip, NY 11730-2600 | 2009-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092583 | Exchange Ambulance Corporation of The Islips | Ambulance | 190 Carleton Avenue, East Islip, NY 11730 | 2020-01-17 |
| 1629422639 | Wanda Chisolm | Counselor | 107 East Main Street, East Islip, NY 11730 | 2016-04-15 |
| 1689040990 | Ryan George Baist | Pharmacist | 18 Argyle Drive, East Islip, NY 11730 | 2015-08-20 |
| 1225448855 | Michael John Desivo | Dentist | 228 East Main St, East Islip, NY 11730 | 2014-05-05 |
| 1306279401 | Eileen Henry | Specialist | 81 Country Village Lane, East Islip, NY 11730 | 2013-08-13 |
| 1124306659 | Carol A Ryan-behr | Licensed Practical Nurse | 145 Woodland Ave, East Islip, NY 11730 | 2011-08-02 |
| 1154651768 | Helene Dellas-dibona | Social Worker | 216 Carleton Avenue, East Islip, NY 11730 | 2010-01-04 |
| 1952513921 | Lorraine G Ballou | Social Worker | 31 Sherwood Drive, East Islip, NY 11730 | 2007-05-04 |
| 1235271362 | Robert Anthony Domozych Jr. | Dentist | 127 West Main Street, East Islip, NY 11730 | 2007-02-13 |
| 1477614766 | Kathleen O'neill | Counselor | 265 East Main Street, Tranquility Counseling, East Islip, NY 11730 | 2006-12-12 |
| Find all providers in zip 11730 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083708697 | James Andrew Higgins | Family Medicine | 11 Carleton Ave, East Islip, NY 11730-2108 | 2006-10-03 |
| 1811080617 | Robert J Maccone | Family Medicine | 45 East Main Street, East Islip, NY 11730 | 2006-10-02 |
| 1366555849 | Richard Zito | Family Medicine | 69 Bayview Ave, East Islip, NY 11730-3118 | 2006-08-17 |
| 1033131883 | John Stephen Walsh | Family Medicine | 369 East Main Street, Suite 3, East Islip, NY 11730 | 2006-07-24 |
| 1992763585 | Lawrence L Northorn | Family Medicine | 126 E Main St Ste 1, East Islip, NY 11730-2600 | 2006-05-03 |
| 1811969504 | Salvatore Giantinoto | Family Medicine | 8 Laurel Ave, East Islip, NY 11730-2190 | 2006-02-06 |
| 1992792915 | Maria E Vaccari | Family Medicine | 220 E Main St, East Islip, NY 11730-2734 | 2005-10-04 |
| 1730183013 | James W Ferguson | Family Medicine | 170 W Main St, East Islip, NY 11730-2216 | 2005-06-02 |
| 1831553320 | James Auteri Ferguson | Family Medicine | 170 W Main St, East Islip, NY 11730 | 2016-04-11 |
| 1801116470 | Michael Ladinsky Do PC | Family Medicine | 126 E Main St, Ste 1, East Islip, NY 11730-2600 | 2010-06-07 |
| Find all providers in EAST ISLIP | ||||
| City | EAST ISLIP |
| Zip Code | 11730 |
Please comment or provide details below to improve the information on THOMAS E COSTELLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.