EILEEN A. COSTELLO (NPI# 1306273065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306273065 |
| Entity Type | Individual |
| Full Name | EILEEN A. COSTELLO |
| Credential | FNP |
| Practice Address |
56 45 Main Street W-ll300 Flushing NY 11355-5045 |
| Practice Telephone | 7186701185 |
| Practice Fax Number | 7186702312 |
| Mailing Telephone | 7186702127 |
| Mailing Fax Number | 3473289362 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2015-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F338319 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F338319-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649645920 | Eileen Meghan Costello | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-12-11 |
| 1629053673 | Eileen Mary Costello | Pediatrics | 850 Harrison Ave, Yacc 5, Boston, MA 02118-4001 | 2005-12-13 |
| Street Address |
56 45 MAIN STREET W-LL300 |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763377 | Robert M Farrell | Urology | 56 45 Main Street, W-ll300, Flushing, NY 11355-5045 | 2005-07-14 |
| 1356766083 | Yi Chen | Physician Assistant | 56 45 Main Street, W-ll300, Flushing, NY 11355-5045 | 2014-03-05 |
| 1518303080 | Colleen Ann Murtha-stoff | Nurse Practitioner | 56 45 Main Street, W-ll300, Flushing, NY 11355-5045 | 2013-05-10 |
| 1588813729 | William Collins Nugent IIi | Surgery | 56 45 Main Street, W-ll300, Flushing, NY 11355-5045 | 2008-09-11 |
| 1346420197 | Anna Kula | Physician Assistant | 56 45 Main Street, Flushing, NY 11355 | 2007-11-09 |
| 1235290206 | Melvin Charles Hochman | Internal Medicine | 56 45 Main Street, Flushing, NY 11355 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992317085 | Eun Mi Lee | Nurse Practitioner | 15015 Sanford Ave Apt 4a, Flushing, NY 11355-1006 | 2020-08-19 |
| 1386282507 | Eun Sook Yoon | Nurse Practitioner | 19214 Northern Blvd # 2f, Flushing, NY 11358-2955 | 2019-12-18 |
| 1154965291 | Wei Gu | Nurse Practitioner | 13617 39th Ave # Cf-e, Flushing, NY 11354-5504 | 2019-11-01 |
| 1548734833 | Xiaomeng Du | Nurse Practitioner | 13545 Roosevelt Ave # 8g, Flushing, NY 11354-5336 | 2019-01-20 |
| 1104399880 | Lisa Leclair | Nurse Practitioner | 6267 Duffield Rd, Flushing, MI 48433-9264 | 2019-01-06 |
| 1427571595 | Dorothy Raczkowski | Nurse Practitioner | 2714 172nd St, Flushing, NY 11358-1140 | 2017-07-20 |
| 1417484023 | Kelly Alyson Saikum | Nurse Practitioner | 19916 33rd Ave, Flushing, NY 11358-1906 | 2017-05-12 |
| 1649711375 | Maggie Jiang | Nurse Practitioner | 13620 38th Ave Ste 5h, Flushing, NY 11354-4232 | 2017-03-14 |
| 1427505080 | Lio Batyrova | Nurse Practitioner | 150-43 78th Avenue, Flushing, NY 11367 | 2016-09-01 |
| 1952799033 | Abby N Fashakin | Nurse Practitioner | 7838 Parsons Blvd, Flushing, NY 11366-1930 | 2014-12-24 |
| Find all providers in FLUSHING | ||||
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| 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.