Doctor profile · Federal record
Dr. Mary Costello, ANP
Nurse Practitioner · Adult Health Nurse Practitioner · Adult Health Nurse Practitioner · Adult Health Nurse Practitioner · New York, NY
- NPI 1548426414
- 18 yrs on file
- Licensed in 4 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
525 E 68Th St Ste M404
New York, NY 100654870
(212) 746-5156 - Additional location
-
2801 W Kk River Pkwy Ste 680
Milwaukee, WI 532153633
(414) 385-1922 - Additional location
-
3311 Riverbend Dr
Springfield, OR 974778800
(541) 222-2868 - Mailing address
-
160 W Camino Real # 255
Boca Raton, FL 334325942
Credentials & registration
- NPI registered
- July 2008 — 18 yrs on file
- Profile last updated
- January 18, 2024
- Specialty taxonomy
- 363L00000X — NUCC code
- State licenses (4)
- Wisconsin #100193 · Oregon #201508795NP-PP · Colorado #C-APN.0001649-C-NP · North Carolina #5004075
- Medicaid (3)
- NC #7004305 · SC #NP1325 · WI #100223521
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1548426414. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$55
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Amgen INC. | 1 | $23.93 | |
| Boston Scientific Corporation | 1 | $16.56 | |
| Abbott Laboratories | 1 | $14.38 |
By nature of payment
Frequently asked questions
What is Dr. Mary Costello's medical specialty?
Dr. Mary Costello practices Nurse Practitioner in New York, NY.
Where does Dr. Mary Costello practice?
Dr. Mary Costello practices at 525 E 68Th St Ste M404, New York, NY 100654870. Office phone: 2127465156.
What is Dr. Mary Costello's NPI?
Dr. Mary Costello's National Provider Identifier (NPI) is 1548426414, issued by NPPES.