MS. KELLY JO COSTELLO
NPI 1700653151
Specialist in Port Jefferson, NY

Q: What is Kelly Costello's NPI number?

The NPI number for Kelly Costello is 1700653151. It was assigned to this individual provider in the NPPES registry on December 6, 2023.

Q: What is Kelly Costello's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Costello was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 06, 2023

299 HALLOCK AVENUE, PORT JEFFERSON, NY 11776(540) 532-8002 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Kelly Jo Costello NPPES

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

MS. KELLY JO COSTELLO (NPI 1700653151) is an individual specialist in Port Jefferson, New York and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1700653151

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMS. KELLY JO COSTELLO

Location Address299 HALLOCK AVENUEPort Jefferson, NY 11776

Mailing Address34 E Main St # 184Smithtown, NY 11787-2804 · (540) 532-8002

Phone(540) 532-8002

Sole ProprietorYes

Enumeration DateDecember 6, 2023

NPPES CertifiedNovember 30, 2023

✔ NPI 1700653151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

299 HALLOCK AVENUE, Port Jefferson, NY 11776

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHANNA L MARTE

Specialist

299 HALLOCK AVENUE
POA JEFFERSON STATION, NY 11776

Suffolk County (631) 473-4284

MRS. HELENA MCDERMOTT MSED

Specialist

299 HALLOCK AVENUE
PORT JEFFERSON, NY 11776

Suffolk County (631) 473-4284

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 Kelly Costello's NPI number?

The NPI number for Kelly Costello is 1700653151. It was assigned to this individual provider in the NPPES registry on December 6, 2023.

Where is Kelly Costello located?

Kelly Costello practices at 299 Hallock Avenue, Port Jefferson, NY 11776. The listed phone number is (540) 532-8002.

What is Kelly Costello's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelly Costello was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.