DR. ANDREW T. COSTARINO JR. MD
NPI 1598856858
Pediatrics - Pediatric Critical Care Medicine in Philadelphia, PA

Q: What is Andrew Costarino's NPI number?

The NPI number for Andrew Costarino is 1598856858. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Andrew Costarino's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Costarino was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 28, 2006PECOS Enrolled

3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104(215) 590-1858(267) 425-9331 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Andrew T. Costarino Jr. Md NPPES

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

DR. ANDREW T. COSTARINO JR. MD (NPI 1598856858) is an individual pediatric critical care medicine provider in Philadelphia, Pennsylvania, licensed in Delaware (C10006289) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598856858

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. ANDREW T. COSTARINO JR.Credential: MD

Location Address3401 CIVIC CENTER BLVD STE 9329Philadelphia, PA 19104-4319

Mailing Address100 E Penn Square, Wanamaker Bldg., 9th Fl, NPhiladelphia, PA 19104-0001 · (267) 425-9320 · Fax (267) 425-9331

Phone(215) 590-1858

Fax(267) 425-9331

Sole ProprietorNo

Enumeration DateSeptember 28, 2006

Last NPPES UpdateJune 15, 2018

✔ NPI 1598856858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in DE · C10006289

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License C10006289 (DE)

Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X · License C10006289 (DE)

3401 CIVIC CENTER BLVD STE 9329, Philadelphia, PA 19104

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Other Identifiers 8

Medicaid496804NJ

Medicaid1642039NY

Medicaid410070DC

MedicaidQ4937ESC

Medicaid963171PA

Medicaid2835100MD

Medicaid6736441VA

Medicaid7611115NC

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. Andrew T. Costarino Jr. Md 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.

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.

RAJEEV SUBRAMANYAM IYER M.D.

Anesthesiology (Pediatric Anesthesiology)