THOMAS E. COSTELLO, MD, PT, PLLC
NPI 1811367402
Clinic/Center - Primary Care in Dix Hills, NY

Q: What is Thomas E. Costello, MD, Pt, PLLC's NPI number?

The NPI number for Thomas E. Costello, MD, Pt, PLLC is 1811367402. It was assigned to this organization in the NPPES registry on September 25, 2015.

Q: What is Thomas E. Costello, MD, Pt, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since September 25, 2015

14 VILLANOVA LN, DIX HILLS, NY 11746(516) 658-2807 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2023, Oct 29, 2020 (2 updates tracked since 2020).

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About Thomas E. Costello, Md, Pt, Pllc NPPES

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

THOMAS E. COSTELLO, MD, PT, PLLC (NPI 1811367402) is a healthcare organization registered as a primary care in Dix Hills, New York and active in the NPI registry since September 2015. The organization lists Thomas E Costello, Physician, as its authorized official.

NPPES Registry Identity

NPI1811367402

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameTHOMAS E. COSTELLO, MD, PT, PLLC

Location Address14 VILLANOVA LNDix Hills, NY 11746-4841

Mailing AddressPo Box 464Huntington Station, NY 11746-0374

Phone(516) 658-2807

Organization SubpartNo

Authorized OfficialThomas E CostelloPhysician · (516) 658-2807

Enumeration DateSeptember 25, 2015

Last NPPES UpdateMarch 14, 20232 updates tracked since enumeration

NPPES CertifiedMarch 14, 2023

✔ NPI 1811367402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in NY · 267336

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License 011915 (NY)

14 VILLANOVA LN, Dix Hills, NY 11746

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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 Thomas E. Costello, MD, Pt, PLLC's NPI number?

The NPI number for Thomas E. Costello, MD, Pt, PLLC is 1811367402. It was assigned to this organization in the NPPES registry on September 25, 2015.

Where is Thomas E. Costello, MD, Pt, PLLC located?

Thomas E. Costello, MD, Pt, PLLC is located at 14 Villanova Ln, Dix Hills, NY 11746. The listed phone number is (516) 658-2807.

What is Thomas E. Costello, MD, Pt, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Thomas E. Costello, MD, Pt, PLLC was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.