Michael Costanzo, NP - Medicare Nurse Practitioner in New Providence, NJ

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Michael Costanzo, NP is a medicare enrolled "Nurse Practitioner" in New Providence, New Jersey. His current practice location is 890 Mountain Avenue, Dermatology - 3rd Fl, New Providence, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 277-8668.

Michael Costanzo is licensed to practice in New Jersey (license number 26NJ01265500) 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 1245984665.

Contact Information

Michael Costanzo, NP
890 Mountain Avenue, Dermatology - 3rd Fl,
New Providence, NJ 07974
(908) 277-8668
(908) 277-8629

Map and Direction




Provider's Profile

Full NameMichael Costanzo
GenderMale
SpecialityNurse Practitioner
Location890 Mountain Avenue, New Providence, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245984665
  • Provider Enumeration Date: 02/04/2022
  • Last Update Date: 05/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204216021
  • Enrollment ID: I20220711000452

Medical Identifiers

Medical identifiers for Michael Costanzo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245984665NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 26NJ01265500 (New Jersey)Secondary
363LG0600XNurse Practitioner - Gerontology 26NJ01265500 (New Jersey)Secondary
363L00000XNurse Practitioner 26NJ01265500 (New Jersey)Primary
363LP2300XNurse Practitioner - Primary Care 26NJ01265500 (New Jersey)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael Costanzo allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

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. Michael Costanzo 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 AddressPractice Location Address
Michael Costanzo, NP
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: () -		Michael Costanzo, NP
890 Mountain Avenue, Dermatology - 3rd Fl,
New Providence, NJ 07974

Ph: (908) 277-8668

Reviews and Comments


Nurse Practitioner Nurses in New Providence, NJ

Rodah W Kimani, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10 2nd St, New Providence, NJ 07974
Phone: 908-887-2737    
Mrs. Mary J Vignali, AGNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 337 Union Ave, New Providence, NJ 07974
Phone: 908-358-5088    
Laura Lynn Demaria, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 180 South St, New Providence, NJ 07974
Phone: 908-673-7505    Fax: 908-464-4159
Avital Moskowitz,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 556 Central Ave, New Providence, NJ 07974
Phone: 908-508-0371    
Susan A Angelicola, MSN, RNC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 890 Mountain Ave, New Providence, NJ 07974
Phone: 908-277-8799    Fax: 908-608-2376
Heather Lynne Provence, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 890 Mountain Ave, Behavioral Health & Cognitive Therapy, New Providence, NJ 07974
Phone: 908-277-8900    Fax: 908-508-8919

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.