DR. GREGORY ANTHONY COSTELLO MD
NPI 1154411254
Family Medicine in Wyckoff, NJ

Q: What is Gregory Costello's NPI number?

The NPI number for Gregory Costello is 1154411254. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Gregory Costello's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Costello was last updated on December 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 13, 2006PECOS Enrolled

700 MOUNTAIN AVE, WYCKOFF, NJ 07481(201) 848-8005 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gregory Anthony Costello Md NPPES

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

DR. GREGORY ANTHONY COSTELLO MD (NPI 1154411254) is an individual family medicine provider in Wyckoff, New Jersey, licensed in New Jersey (25MA06626300) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154411254

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GREGORY ANTHONY COSTELLOCredential: MD

Location Address700 MOUNTAIN AVEWyckoff, NJ 07481-1047

Mailing Address587 Eder AveFranklin Lakes, NJ 07417-3011 · (201) 847-2422

Phone(201) 848-8005

Sole ProprietorYes

Enumeration DateOctober 13, 2006

Last NPPES UpdateDecember 20, 2007

✔ NPI 1154411254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MA06626300

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

700 MOUNTAIN AVE, Wyckoff, NJ 07481

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Other Identifiers 1

Medicaid7619804NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gregory Anthony Costello Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07481 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier43 claims1,191 services$2.62 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier74 claims2,063 services$4.19 avg. paid by Medicare

Gastrostomy/jejunostomy tube, standard, any material, any type, each B4087

Other-Enteral and Parenteral · category OB006N

1 supplier31 claims31 services$21.03 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier56 claims13,934 services$0.31 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier20 claims9,520 services$0.27 avg. paid by Medicare

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153

Other-Enteral and Parenteral · category OB006N

1 supplier26 claims10,764 services$0.92 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

EASTERN CHRISTIAN CHILDREN'S RETREAT

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities