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DR. JOSEPH THOMAS COSTIC DO NPI 1770532228


NPI Information

NPI: 1770532228
Provider Name: DR. JOSEPH THOMAS COSTIC, DO
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
230 N BROAD ST
744 NORTH TOWER
PHILADELPHIA, PA
ZIP 19102
Phone: (215) 762-7802
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DR. Joseph Thomas Costic, DO is a thoracic surgery cardiothoracic vascular surgery in Philadelphia, PA with 38 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Joseph Thomas Costic, DO NPI is 1770532228. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:1986

The provider's business location address is:

230 N BROAD ST
744 NORTH TOWER
PHILADELPHIA, PA
ZIP 19102-121
Phone: (215) 762-7802
Fax: (215) 762-1858

The NPI 1770532228 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 4/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)OS010727LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
129209OTHERNEW JERSEYUNIVERSITY HEALTH PLAN
2693779PDMMEDICARE PINNEW JERSEY
31134236OTHERNEW JERSEYHORIZON NJ HEALTH
4939698OTHERNEW JERSEYINDEPENDENT BCBS
5793392000OTHERNEW JERSEYAMERIHEALTH
683491OTHERNEW JERSEYAMERIGROUP
76721303MEDICAIDNEW JERSEY
82337132OTHERNEW JERSEYAETNA
91000358600OTHERNEW JERSEYAMERICHOICE
10P390898OTHERNEW JERSEYOXFORD
11208755MSSMEDICARE PINPENNSYLVANIA
12793392000OTHERNEW JERSEYKEYSTONE HEALTHPLAN
130780001880OTHERRR MEDICARE
142049399OTHERNEW JERSEYUNITED HEALTHCARE
15G15291MEDICARE UPINNEW JERSEY
161K6469OTHERNEW JERSEYHEALTHNET
17102566398MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.