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DR. CONNIE KOSTACOS
NPI 1376529420
Pediatrics in New York, NY

Active since December 21, 2005PECOS Enrolled
3959 BROADWAY, NEW YORK, NY 10032(212) 304-7250 Get Directions Write a Review

NPPES record last updated: August 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Connie Kostacos NPPES

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

DR. CONNIE KOSTACOS (NPI 1376529420) is an individual pediatrics provider in New York, New York, licensed in New York (2002961) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376529420
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. CONNIE KOSTACOS
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address3959 BroadwayNew York, NY 10032-1559 · (212) 304-7250
Phone(212) 304-7250
Sole ProprietorNo
Enumeration DateDecember 21, 2005
Last NPPES UpdateAugust 14, 2012
✔ NPI 1376529420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 2002961
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3959 BROADWAY, New York, NY 10032
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Other Identifiers 3

Medicare UPING43174NY
Medicare ID-Type Unspecified537121NY
Medicaid01694655NY

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. Connie Kostacos 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 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

DR. PAMELA ISABEL GOOD M.D.
Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-8504
HAE LIN SON
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
New York County (201) 696-5960
ELIZABETH ANN BADER
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5437
HYO JIN CHO MD
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-8504
DR. DAVID RUBENSTEIN
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
New York County (212) 304-7250
MS. MEREDITH GAROD-MUSIC CPNP
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 342-8530
EVIANNA CRUZ HERRERA MD/MPH
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5903
SARA BOMBONATO OTR/L
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5827

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 Connie Kostacos's NPI number?

The NPI number for Connie Kostacos is 1376529420. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Connie Kostacos located?

Connie Kostacos practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 304-7250.

What is Connie Kostacos's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Connie Kostacos enrolled in Medicare?

Yes. Connie Kostacos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connie Kostacos was last updated on August 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.