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SYLVIA A COSCIA MD
NPI 1356417794
Internal Medicine in Little Falls, NJ

Active since November 28, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 31D0110067 · Waiver
186 LONG HILL ROAD, LITTLE FALLS, NJ 07424(973) 812-0979(973) 812-0788 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sylvia A Coscia Md NPPES

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

SYLVIA A COSCIA MD (NPI 1356417794) is an individual internal medicine provider in Little Falls, New Jersey, licensed in New Jersey (MA043499) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is affiliated with Hackensack University Medical Center.

NPPES Registry Identity

NPI1356417794
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSYLVIA A COSCIACredential: MD
Location Address186 LONG HILL ROADLittle Falls, NJ 07424
Mailing Address186 Long Hill RoadLittle Falls, NJ 07424 · (973) 812-0979 · Fax (973) 812-0788
Phone(973) 812-0979
Fax(973) 812-0788
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1982
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356417794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA043499
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.
186 LONG HILL ROAD, Little Falls, NJ 07424
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Other Identifiers 2

Medicare UPIND19331
Medicare ID-Type Unspecified541394NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sylvia A Coscia Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799710943
PECOS Enrollment IDI20050927001124
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0110067

Sylvia A Coscia MD · Little Falls, NJ
Active · expires Aug 31, 2026
CLIA Number31D0110067
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSylvia A. Coscia
Laboratory Phone(201) 812-0974
Laboratory LocationSylvia A Coscia MD186 Long Hill Rd, Little Falls, NJ 07424
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,325 services439 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,196 services459 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
667 services374 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
400 services400 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
327 services42 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
248 services248 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310017
Location97 West ParkwayPompton Plains, NJ 07444 · Morris County
Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07424 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
22 suppliers83 claims191 services$5.89 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers13 claims13 services$2.72 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers39 claims51 services$1.12 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$11.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims23 services$53.02 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$28.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sylvia Coscia's NPI number?

The NPI number for Sylvia Coscia is 1356417794. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Sylvia Coscia located?

Sylvia Coscia practices at 186 Long Hill Road, Little Falls, NJ 07424. The listed phone number is (973) 812-0979.

What is Sylvia Coscia's specialty?

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

Is Sylvia Coscia enrolled in Medicare?

Yes. Sylvia Coscia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Sylvia Coscia hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0110067) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sylvia Coscia accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sylvia Coscia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sylvia Coscia affiliated with any hospitals?

According to CMS data, Sylvia Coscia is affiliated with Hackensack University Medical Center, Valley Hospital, Chilton Medical Center, St Joseph's University Medical Center Inc and Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Sylvia Coscia was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.