DR. MICHAEL A COSTELLO (NPI# 1336220466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336220466 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A COSTELLO |
| Credential | DMD |
| Practice Address |
949 Spring Valley Rd Maywood NJ 07607 |
| Practice Telephone | 2017125556 |
| Practice Fax Number | 2017125556 |
| Mailing Telephone | 2017125556 |
| Mailing Fax Number | 2017129190 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2016-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
22DI0198470 | NJ | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DI19847 | NJ | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 22DI0198470 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487165791 | Michael Costello | Counselor | 114 N 12th St, Grand Junction, CO 81501-3534 | 2017-10-14 |
| 1740250125 | Michael W Costello | Family Medicine | 194 Thomas Johnson Dr Ste A, Frederick, MD 21702 | 2006-01-26 |
| 1669728812 | Michael Costello | Dentist | 40 Poplar St, Danvers, MA 01923-2249 | 2012-07-25 |
| 1649593211 | Michael John Costello | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2010-03-10 |
| 1366645111 | Michael R Costello | Internal Medicine | 440 E Marshall St, Suite 201, West Chester, PA 19380-5414 | 2007-06-08 |
| 1073527222 | Michael L Costello | Dentist | 1333 College Ave, Suite C, South Milwaukee, WI 53172-1150 | 2006-07-27 |
| 1366470403 | Michael J Costello | Surgery | 2215 Nebraska Ave, Suite 3d, Fort Pierce, FL 34950-4864 | 2006-06-29 |
| 1477544781 | Michael John Costello | Emergency Medicine | 5555 W Las Positas Blvd, Pleasanton, CA 94588-4000 | 2005-11-04 |
| 1083609192 | Michael Costello | Physician Assistant | 4967 Crooks Rd, Suite 120, Troy, MI 48098-5801 | 2005-09-14 |
| Street Address |
949 SPRING VALLEY RD |
| City | MAYWOOD |
| State | NJ |
| Zip Code | 07607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083953533 | Tiffany Kuang | Dentist | 949 Spring Valley Rd, Maywood, NJ 07607-1452 | 2013-02-04 |
| 1619221827 | New Jersey Center for Oral & Maxillofacial Surgery | Dentist | 949 Spring Valley Rd, Maywood, NJ 07607-1452 | 2012-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174057756 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Cumming Avenue, Maywood, NJ 07607 | 2017-04-20 |
| 1689075475 | Fitness & Wellness of Hackensack | Dietitian, Registered | 137 Route 17 North, Maywood, NJ 07607 | 2014-09-11 |
| 1700285707 | Yun-hyeang Stella Jang | Social Worker | 87 Route 17, Suite 1-118, Maywood, NJ 07607 | 2014-08-15 |
| 1447659354 | Bonnie Lyn Freirich | Social Worker | 87 Route 17 North, Maywood, NJ 07607 | 2014-08-15 |
| 1720344351 | Nurse Practitioner Professional Services Inc | Nurse Practitioner | 100 West Magnolia Avenue, Maywood Center for Health & Rehabilitation, Maywood, NJ 07607 | 2012-04-09 |
| 1689960676 | Douglas Jay Saphier | Psychiatry & Neurology | 87 Rte 17 N, Maywood, NJ 07607 | 2011-06-28 |
| 1275764581 | Nayana Parekh | Internal Medicine | 113 W Essex St Ste 204, Maywood, NJ 07607 | 2009-08-04 |
| 1205078946 | Total Physical Therapy, LLC. | Physical Therapist | 25 E. Spring Valley Ave, Suite 190, Maywood, NJ 07607 | 2009-03-26 |
| 1619141918 | Vincent C Okabekwa | Psychiatry & Neurology | 87 Route 17 N, Maywood, NJ 07607 | 2008-04-17 |
| 1710045588 | Harold Hugh Gardy | Dentist | 61 W Pleasant Drive, Maywood, NJ 07607 | 2006-12-05 |
| Find all providers in zip 07607 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417418203 | Frank Rizzo | Oral & Maxillofacial Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659923969 | Sunhee Lee Dmd Pa | Oral & Maxillofacial Surgery | 1 Dewolf Rd Ste 102, Old Tappan, NJ 07675-7084 | 2019-07-16 |
| 1336630599 | Steven Frank Bogart Dds and Hubert Gugala Dmd | Oral & Maxillofacial Surgery | 57 Route 46 Suite 207, Hackettstown, NJ 07860 | 2018-05-23 |
| 1760910046 | Southern Ocean Osic, Inc | Oral & Maxillofacial Surgery | 1322 Route 72 W Ste 204, Manahawkin, NJ 08050-2486 | 2017-05-31 |
| 1245697432 | Middletown Oral Surgery Associates, P.C. | Oral & Maxillofacial Surgery | 21 New Monmouth Road, Middletown, NJ 07748 | 2016-01-20 |
| 1992118087 | Lanoka Shores LLC | Oral & Maxillofacial Surgery | 249 S Main St Unit 4, Barnegat, NJ 08005-2301 | 2014-06-05 |
| 1316382641 | Nikolay Levintov | Oral & Maxillofacial Surgery | C3 Cornwall Dr, East Brunswick, NJ 08816 | 2013-04-30 |
| 1912248683 | Mark Park | Oral & Maxillofacial Surgery | 260 Old Hook Rd Ste 202, Westwood, NJ 07675-3123 | 2013-03-06 |
| 1457417495 | Oral & Maxillofacial Assoc of Nutley | Oral & Maxillofacial Surgery | 187 Washington Avenue, Suite 1b, Nutley, NJ 07110 | 2006-12-27 |
| 1336216795 | Joseph D Dmaio | Oral & Maxillofacial Surgery | 590 Westfield Ave, Westfield, NJ 07090 | 2006-11-29 |
| 1508930678 | David Z Evdokimow | Oral & Maxillofacial Surgery | 96 S Finley Ave, Basking Ridge, NJ 07920-1422 | 2006-11-20 |
| Find all providers with the same taxonomy | ||||
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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.