GARY COSTACURTA (NPI# 1679575856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679575856 |
| Entity Type | Individual |
| Full Name | GARY COSTACURTA |
| Credential | M.D. |
| Practice Address |
2001 Fairview Ave Easton PA 18042-3915 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 6104422082 |
| Practice Fax Number | 6104382419 |
| Mailing Telephone | 8488444500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2019-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MA054780 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD034283-E | PA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MA054780 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD034283-E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AMERIHEALTH MERCY MA | 20008705 | 01 |
| PA | 1198810 | 05 | |
| NJ | HIGHMARK NJ | 1387642 | 01 |
| PA | CAPITAL BLUE CROSS | 1951701 | 01 |
| PA | OXFORD | P713649 | 01 |
| PA | AETNA US HEALTHCARE | 485897 | 01 |
| PA | KEYSTONE CAPITAL | 597435 | 01 |
| NJ | 5089603 | 05 | |
| PA | CIGNA PA | 4005656 | 01 |
| PA | HIGHMARK BLUE SHIELD PA | 597435 | 01 |
| Street Address |
2001 FAIRVIEW AVE |
| City | EASTON |
| State | PA |
| Zip Code | 18042-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285056358 | Northampton Cardiology Clinic LLC | Internal Medicine | 2001 Fairview Ave, Easton, PA 18042-3915 | 2014-01-09 |
| 1306840897 | Chandulal Patel | Internal Medicine | 2001 Fairview Ave, Easton, PA 18042-3915 | 2005-06-13 |
| 1356345193 | Koroush Khalighi | Internal Medicine | 2001 Fairview Ave, Easton, PA 18042-3915 | 2005-06-09 |
| 1871597575 | Farhad Elmi | Internal Medicine | 2001 Fairview Ave, Easton, PA 18042-3915 | 2005-06-09 |
| 1326042698 | Joseph A. Schiavone | Internal Medicine | 2001 Fairview Ave, Easton, PA 18042-3915 | 2005-06-02 |
| 1003810342 | Rajeev Rohatgi | Internal Medicine | 2001 Fairview Ave, Easton, PA 18042-3915 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013570613 | St. Luke's Physician Group, Inc. | Family Medicine | 352 Northampton St, Easton, PA 18042 | 2019-04-18 |
| 1992263909 | St. Luke's Physician Group, Inc. | Internal Medicine | 1905 Hay Terrace, Easton, PA 18042 | 2019-03-08 |
| 1447770342 | Kimberly Vosbury | Occupational Therapy Assistant | 1926 Fairview Avenue, Easton, PA 18042 | 2017-06-21 |
| 1376082610 | Renew Wellness and Psychotherapy | Social Worker | 133 N 4th Street, Easton, PA 18042 | 2017-02-20 |
| 1275078180 | Felicia Moore | Counselor | 1733 Washington Blvd Ste 108, Easton, PA 18042 | 2017-01-01 |
| 1124563127 | Tara Marie George | Counselor | 1101 Northampton St #201, Pinebrook Family Answers, Easton, PA 18042 | 2016-12-29 |
| 1619325446 | Vinay V Bajaj | Surgery | 250 S. 21st Street, Easton Hospital, Easton, PA 18042 | 2016-06-02 |
| 1457709941 | Matthew Bayly | Specialist/Technologist | 750 West Pierce Street, 132 Kirby Sports Center, Easton, PA 18042 | 2016-05-25 |
| 1063881753 | Mackenzie Sara Hubert | Chiropractor | 524 Northampton St, Easton, PA 18042 | 2015-09-23 |
| 1265838932 | Trisha Gill | Nurse Practitioner | 1536 Northampton St, Easton, PA 18042 | 2014-11-07 |
| Find all providers in zip 18042 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184002586 | Genesis Vascular of Lehigh Valley, LLC | Internal Medicine | 2111 Washington Blvd Ste 1, Easton, PA 18042-3803 | 2015-05-18 |
| 1376989467 | Thomas Fauntleroy Jr. | Internal Medicine | 27809 Waverly Rd, Easton, MD 21601-8123 | 2013-05-15 |
| 1932329117 | Harold Wesley Draper | Internal Medicine | 9241 Chapel Road, Easton, MD 21601-6363 | 2007-04-27 |
| 1174624530 | Pradeep S. Ghia, M.d., P.C. | Internal Medicine | 123 S 22nd St, Easton, PA 18042-3808 | 2006-09-26 |
| 1740224245 | Juan Cordero | Internal Medicine | 505 Dutchmans Ln Ste A3, Easton, MD 21601-4302 | 2006-06-15 |
| 1346220019 | Morton E Kalus Jr. | Internal Medicine | 500 Cadmus Ln Ste 207, Easton, MD 21601 | 2006-01-19 |
| 1861494056 | Easton Cardiovascular Associates, PC | Internal Medicine | 175 S 21st St, Easton, PA 18042-3835 | 2005-06-01 |
| 1750947388 | Anne Arundel Physician Group, LLC | Internal Medicine | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-05-20 |
| 1326584863 | Dr Mascarenhas Cardiology | Internal Medicine | 175 S 21st Street, Easton, PA 18042 | 2017-01-09 |
| 1558810176 | Anne Arundel Physician Group, LLC | Internal Medicine | 505 Dutchmans Ln, Easton, MD 21601-4302 | 2016-09-23 |
| Find all providers in EASTON | ||||
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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.