Dr Gregory Anthony Costello, MD is a medicare enrolled "Family Medicine" physician in Wyckoff, New Jersey. His current practice location is
700 Mountain Ave, Wyckoff, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 848-8005.
Dr Gregory Anthony Costello is licensed to practice in New Jersey (license number 25MA06626300) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154411254.
Physician's Profile
Full Name | Dr Gregory Anthony Costello |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 700 Mountain Ave, Wyckoff, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154411254
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 12/20/2007
Medicare PECOS Information:
- PECOS PAC ID: 0840478012
- Enrollment ID: I20170207001795
Medical Identifiers
Medical identifiers for Dr Gregory Anthony Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154411254 | NPI | - | NPPES |
7619804 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 25MA06626300 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gregory Anthony Costello is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Gregory Anthony Costello, MD 587 Eder Ave, Franklin Lakes, NJ 07417-3011 Ph: (201) 847-2422 | Dr Gregory Anthony Costello, MD 700 Mountain Ave, Wyckoff, NJ 07481-1047 Ph: (201) 848-8005 |
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