MS. MARY ELIZABETH COSTELLO NP NPI 1497922157

NPI Information

NPI: 1497922157
Provider Name: MS. MARY ELIZABETH COSTELLO, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
400 SOUTH ORANGE AVENUE
SETON HALL UNIVERSITY HEALTH SERVICES
SOUTH ORANGE, NJ
ZIP 07079
Phone: (973) 761-9175
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MS. Mary Elizabeth Costello, NP is a family nurse practitioner in South Orange, NJ. MS. Mary Elizabeth Costello, NP NPI is 1497922157. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 SOUTH ORANGE AVENUE
SETON HALL UNIVERSITY HEALTH SERVICES
SOUTH ORANGE, NJ
ZIP 07079-697
Phone: (973) 761-9175
Fax: (973) 761-9193

The enumeration date for this NPI number is 5/13/2008 and was last updated on 2/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	26NJ00157400	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	140980XVA	MEDICARE PIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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