MICHELLE KOSTELANSKY NPI 1750763223

NPI Information

  • NPI: 1750763223
  • Provider Name: MICHELLE KOSTELANSKY
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 5401 OLD YORK RD
    KLEIN BUILDING SUITE 510
    PHILADELPHIA, PA
    ZIP 19141
  • Phone: (215) 456-6930

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NPI Details

Michelle Kostelansky is a surgical physician assistant in Philadelphia, PA. Michelle Kostelansky NPI is 1750763223. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5401 OLD YORK RD
KLEIN BUILDING SUITE 510
PHILADELPHIA, PA
ZIP 19141-030
Phone: (215) 456-6930
Fax: (215) 456-3529

The enumeration date for this NPI number is 6/22/2015 and was last updated on 6/22/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalMA057270PENNSYLVANIAYes

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: 11/21/2025

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