Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. MARY E COSTANZA M.D.
NPI 1073596656
Internal Medicine - Hematology & Oncology in Worcester, MA

Active since November 28, 2005
55 LAKE AVE N, DEPARTMENT OF HEMATOLOGY/ONCOLOGY, WORCESTER, MA 01655(508) 856-3902 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mary E Costanza M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY E COSTANZA M.D. (NPI 1073596656) is an individual hematology & oncology provider in Worcester, Massachusetts, licensed in Massachusetts (32475) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1073596656
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MARY E COSTANZACredential: M.D.
Location Address55 LAKE AVE N, DEPARTMENT OF HEMATOLOGY/ONCOLOGYWorcester, MA 01655-0002
Mailing AddressPo Box 62, Turnpike StationShrewsbury, MA 01545-0062 · (508) 334-8815 · Fax (508) 334-5374
Sole ProprietorNo
Enumeration DateNovember 28, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1073596656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in MA · 32475
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

55 LAKE AVE N, Worcester, MA 01655

Other Identifiers 1

Medicaid2047756MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Costanza's NPI number?

The NPI number for Mary Costanza is 1073596656. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Mary Costanza located?

Mary Costanza practices at 55 Lake Ave N Department Of Hematology/Oncology, Worcester, MA 01655. The listed phone number is (508) 856-3902.

What is Mary Costanza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Mary Costanza was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.