MS. ANNA G. CUSTODIO AGPCNP-BC
NPI 1275149106
Nurse Practitioner - Primary Care in New York, NY

Q: What is Anna Custodio's NPI number?

The NPI number for Anna Custodio is 1275149106. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Q: What is Anna Custodio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Anna Custodio was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 16, 2020

480 MAIN ST APT 3G, NEW YORK, NY 10044(845) 521-2887 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Anna G. Custodio Agpcnp-bc NPPES

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

MS. ANNA G. CUSTODIO AGPCNP-BC (NPI 1275149106) is an individual primary care provider in New York, New York, licensed in New York (F309861-01) and active in the NPI registry since September 2020. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1275149106

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMS. ANNA G. CUSTODIOCredential: AGPCNP-BC

Location Address480 MAIN ST APT 3GNew York, NY 10044-0406

Mailing Address480 Main St Apt 3gNew York, NY 10044-0406 · (845) 521-2887

Phone(845) 521-2887

Sole ProprietorNo

Enumeration DateSeptember 16, 2020

NPPES CertifiedSeptember 14, 2020

✔ NPI 1275149106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NY · F309861-01

Also ListedRegistered NurseTaxonomy 163W00000X · License 604515 (NY)

480 MAIN ST APT 3G, New York, NY 10044

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Secondary Practice Location 1

Location 1535 East 73rd StNew York, NY 10044 · Phone (646) 608-3824 · Fax (646) 227-7246

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 Anna Custodio's NPI number?

The NPI number for Anna Custodio is 1275149106. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Where is Anna Custodio located?

Anna Custodio practices at 480 Main St Apt 3G, New York, NY 10044. The listed phone number is (845) 521-2887.

What is Anna Custodio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Anna Custodio was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.