MR. PETER DAVID COSTANTINO (NPI# 1558372904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558372904 |
| Entity Type | Individual |
| Full Name | MR. PETER DAVID COSTANTINO |
| Credential | M.D. |
| Practice Address |
130 East 77th Street 10th Floor New York NY 10075 |
| Mailing Address |
4 Westchester Park Dr Ste 320 White Plains NY 10604-3497 |
| Practice Telephone | 2124344500 |
| Practice Fax Number | 2124344580 |
| Mailing Telephone | 2124344500 |
| Mailing Fax Number | 2124344580 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 204458-1 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01704250 | 05 | |
| NY | HEALTHNET ID# | 4C4124 | 01 |
| NY | OXFORD ID# | P467763 | 01 |
| NY | AETNA MANAGED CARE | 0596816 | 01 |
| NY | EMPIRE BLUE CROSS | 17K791 | 01 |
| NY | AETNA PPO/POS | 5858397 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124157623 | Peter Anthony Costantino Jr. | Chiropractor | 29856 Schoenherr Rd, Suite 2, Warren, MI 48088-3600 | 2007-03-02 |
| Street Address |
130 EAST 77TH STREET 10TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881657542 | Richard S Lazzaro | Specialist | 130 East 77th Street, Lenox Hill Hospital, New York, NY 10075 | 2006-04-11 |
| 1164056123 | Abdulrahman Hatem Aman | Student in an Organized Health Care Education/Training Program | 130 East 77th Street, 8th Floor Room 801, New York, NY 10075 | 2020-02-28 |
| 1629589734 | Maria Dedios | Nurse Practitioner | 130 East 77th Street, 3 Black Hall, New York, NY 10075 | 2017-10-16 |
| 1861839946 | Ob/gyn Services P.c | Obstetrics & Gynecology | 130 East 77th Street, New York, NY 10075 | 2013-05-29 |
| 1255667077 | Jacqueline Lagazo-guia | Nurse Practitioner | 130 East 77th Street, 9 Black Hall, New York, NY 10075-1851 | 2009-10-29 |
| 1053561936 | Nicolas M Van Mieghem | General Acute Care Hospital | 130 East 77th Street, New York, NY 10021 | 2008-09-26 |
| 1629244884 | Jason A. Ellis | Neurological Surgery | 130 East 77th Street, Dept. of Neurosurgery, Black Hall, Third Floor, New York, NY 10075 | 2008-05-07 |
| 1194946772 | Wendy Lynn Bendersky | Physician Assistant | 130 East 77th Street, 8th Floor, New York, NY 10021 | 2007-05-01 |
| 1619051265 | Timothy Evan Radomisli | Orthopaedic Surgery | 130 East 77th Street, 12th Floor, New York, NY 10021 | 2006-10-24 |
| 1669573879 | Michelle Regina Demeo | Physician Assistant | 130 East 77th Street, C/o Manhattan Orthopaedics, 7th Floor, New York, NY 10075-1851 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
| 1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
| 1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
| 1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| 1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
| 1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
| 1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
| 1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
| Find all providers in zip 10075 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148652 | Gloria Li | Specialist | 959 1st Ave, New York, NY 10022-6649 | 2020-09-11 |
| 1700495041 | Ana Rosa Perez | Specialist | 318 E 116th St, New York, NY 10029-1506 | 2020-07-22 |
| 1659995801 | Theodore Nathan Raosen | Specialist | 128 Pinehurst Ave Apt B61, New York, NY 10033-1755 | 2020-06-03 |
| 1255954301 | Courtney Foster | Specialist | 222 E 34th St # 13, New York, NY 10016-4842 | 2020-05-23 |
| 1396371852 | Laquanique Louise Lake | Specialist | 116west 32nd Street, New York, NY 10001-3212 | 2020-03-17 |
| 1205460524 | Yasmin El-hifnawi Cooper | Specialist | 2572 Frederick Douglass Blvd Unit B, New York, NY 10030-2106 | 2020-02-25 |
| 1376175992 | Patricia Ann Ebert | Specialist | 310 E 102nd St Apt 9d, New York, NY 10029-5607 | 2020-02-11 |
| 1912547928 | Roberto Manuel Gonzalez | Specialist | 250 W 108th St, New York, NY 10025-2956 | 2020-01-08 |
| 1659918639 | Delores Cody Oppecker | Specialist | 455 Fort Washington Ave Apt 53, New York, NY 10033-4631 | 2019-12-09 |
| 1174160543 | Jazmin Bernal | Specialist | 765 Riverside Dr, 3n, New York, NY 10032 | 2019-12-04 |
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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.