COSTELLO AND COSTELLO MDS
NPI 1144635087
Non-Pharmacy Dispensing Site in Ithaca, NY

Active since June 30, 2014
217 N AURORA ST, SUITE 2, ITHACA, NY 14850(607) 273-2811 Get Directions Write a Review

NPPES record last updated: January 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Costello And Costello Mds NPPES

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

COSTELLO AND COSTELLO MDS (NPI 1144635087) is a healthcare organization registered as a non-pharmacy dispensing site in Ithaca, New York and active in the NPI registry since June 2014. The organization lists Scott Peterson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1144635087
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameANN R COSTELLO
Location Address217 N AURORA ST, SUITE 2Ithaca, NY 14850-4345
Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialScott PetersonCfo · (858) 625-2990
Enumeration DateJune 30, 2014
Last NPPES UpdateJanuary 13, 2017
NPI 1144635087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in NY · 149866
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
217 N AURORA ST, Ithaca, NY 14850

Other Names 1

Doing Business AsCostello And Costello Mds

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Adult Health)
217 N AURORA ST
ITHACA, NY 14850
Internal Medicine
217 N AURORA ST
ITHACA, NY 14850
Nurse Practitioner (Family)
217 N AURORA ST
ITHACA, NY 14850
Internal Medicine
217 N AURORA ST
ITHACA, NY 14850
Internal Medicine
217 N AURORA ST, #2
ITHACA, NY 14850
Nurse Practitioner (Adult Health)
217 N AURORA ST
ITHACA, NY 14850
Internal Medicine
217 N AURORA ST
ITHACA, NY 14850
Nurse Practitioner (Family)
217 N AURORA ST
ITHACA, NY 14850

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 Ann R Costello's NPI number?

The NPI number for Ann R Costello is 1144635087. It was assigned to this organization in the NPPES registry on June 30, 2014. The provider is doing business as Costello And Costello Mds.

Where is Ann R Costello located?

Ann R Costello is located at 217 N Aurora St Suite 2, Ithaca, NY 14850. The listed phone number is (607) 273-2811.

What is Ann R Costello's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Ann R Costello was last updated on January 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.