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DESARAE COSTANZO
NPI 1346995446
Physician Assistant in Philadelphia, PA

Active since February 16, 2022
4170 CITY AVE, PHILADELPHIA, PA 19131(215) 871-6100 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Desarae Costanzo NPPES

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

DESARAE COSTANZO (NPI 1346995446) is an individual physician assistant in Philadelphia, Pennsylvania and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1346995446
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDESARAE COSTANZO
Location Address4170 CITY AVEPhiladelphia, PA 19131-1610
Mailing Address1595 Dreshertown RdDresher, PA 19025-1421 · (215) 768-3331
Phone(215) 871-6100
Sole ProprietorNo
Enumeration DateFebruary 16, 2022
NPPES CertifiedFebruary 16, 2022
✔ NPI 1346995446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4170 CITY AVE, Philadelphia, PA 19131
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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.

DR. JAWAD AHMAD DO
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
COURTNEY HARTWELL
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
SHAINA YADAV
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
SIMONA KOGAN
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
ALICE VO
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
BRIANNA BECKER
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6380
DANIELA D MARINARO
Orthopaedic Surgery
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6700
ZUHRA NASSERY
Physician Assistant (Surgical)
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100

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 Desarae Costanzo's NPI number?

The NPI number for Desarae Costanzo is 1346995446. It was assigned to this individual provider in the NPPES registry on February 16, 2022.

Where is Desarae Costanzo located?

Desarae Costanzo practices at 4170 City Ave, Philadelphia, PA 19131. The listed phone number is (215) 871-6100.

What is Desarae Costanzo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Desarae Costanzo was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.