| Lisa Costello, APN | |
|
100 K Johnson Blvd N., 2nd Floor, Bordentown, NJ 08505 | |
| (609) 528-8884 | |
| Not Available |
| Full Name | Lisa Costello |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 100 K Johnson Blvd N., Bordentown, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174085435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00900700 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Capital Health Medical Center - Hopewell | Pennington, NJ | Hospital |
| Capital Health Regional Medical Center | Trenton, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Health Medical Group | 7618264532 | 366 |
| Entity Name | Capital Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437516887 PECOS PAC ID: 7618264532 Enrollment ID: O20160921000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Costello, APN 100 K Johnson Blvd N., 2nd Flr, Bordentown, NJ 08505-2275 Ph: (609) 528-8884 | Lisa Costello, APN 100 K Johnson Blvd N., 2nd Floor, Bordentown, NJ 08505 Ph: (609) 528-8884 |
Mrs. Gloria O Olatubosun, RN. FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Creekwood Dr, Bordentown, NJ 08505 Phone: 609-499-9723 | |
Mrs. Helene B Gibbons, APN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: West Burlington St., Bordentown, NJ 08505 Phone: 609-324-6378 | |
Mrs. Jordyn Pontoriero, APN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 280 Dunns Mill Rd, Bordentown, NJ 08505 Phone: 609-301-6530 | |
Mrs. Stephanie Sutphen, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 231 Crosswicks Rd Ste 11, Bordentown, NJ 08505 Phone: 609-298-7204 Fax: 609-298-0491 | |
Natalie Ralph-nelson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 56 Georgetown Rd, Bordentown, NJ 08505 Phone: 732-267-1971 | |
Timothy R Weimer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 243 Route 130 Ste 100, Bordentown, NJ 08505 Phone: 877-388-2778 Fax: 856-252-1100 |