MRS. KIMBERLEY SAMANTHA COSTA CCC-SLP
NPI 1376912964
Speech-Language Pathologist in New York, NY

Active since September 24, 2015
312 E 90TH ST, APT 3B, NEW YORK, NY 10128(740) 856-6048 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kimberley Samantha Costa Ccc-slp NPPES

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

MRS. KIMBERLEY SAMANTHA COSTA CCC-SLP (NPI 1376912964) is an individual speech-language pathologist provider in New York, New York, licensed in New York (024549-1) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1376912964
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KIMBERLEY SAMANTHA COSTACredential: CCC-SLP
Location Address312 E 90TH ST, APT 3BNew York, NY 10128-5124
Mailing Address312 E 90th St, Apt 3bNew York, NY 10128-5124 · (740) 856-6048
Sole ProprietorYes
Enumeration DateSeptember 24, 2015
Last NPPES UpdateAugust 17, 2016
NPI 1376912964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in NY · 024549-1
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
312 E 90TH ST, New York, NY 10128

Other Names 1

Former Name (1)Ms. Kimberley Samantha Ghany Ccc-slp

Other Identifiers 1

Medicaid04285489NY

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 Kimberley Costa's NPI number?

The NPI number for Kimberley Costa is 1376912964. It was assigned to this individual provider in the NPPES registry on September 24, 2015. The provider is also known as Ms. Kimberley Samantha Ghany Ccc-Slp.

Where is Kimberley Costa located?

Kimberley Costa practices at 312 E 90th St Apt 3B, New York, NY 10128. The listed phone number is (740) 856-6048.

What is Kimberley Costa's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kimberley Costa was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.