Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLIANNE COSTELLO
NPI 1316640212
Internal Medicine in New Brunswick, NJ

Q: What is Kellianne Costello's NPI number?

The NPI number for Kellianne Costello is 1316640212. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Kellianne Costello's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 22, 2023PECOS Enrolled

125 PATERSON ST STE 7300, NEW BRUNSWICK, NJ 08901(732) 235-8887 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Mar 22, 2023 (2 updates tracked since 2023).

On this page

About Kellianne Costello NPPES

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

KELLIANNE COSTELLO (NPI 1316640212) is an individual internal medicine provider in New Brunswick, New Jersey, licensed in Pennsylvania (MD493527) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1316640212

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameKELLIANNE COSTELLO

Location Address125 PATERSON ST STE 7300New Brunswick, NJ 08901-1962

Mailing Address125 Paterson St Ste 7300New Brunswick, NJ 08901-1962 · (732) 235-8887

Phone(732) 235-8887

Sole ProprietorNo

Enumeration DateMarch 22, 2023

Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration

NPPES CertifiedOctober 5, 2026

✔ NPI 1316640212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD493527

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

125 PATERSON ST STE 7300, New Brunswick, NJ 08901

Open in Google Maps ↗

Secondary Practice Location 1

Location 1800 Spruce Street, Pine 1 WestPhiladelphia, PA 19107-6130 · Phone (215) 829-7817

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellianne Costello 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 08901 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

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.

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.

BRENDAN MCNAMARA

Student in an Organized Health Care Education/Training Program