Jennifer L. Costa, AUD.
NPI 1205080413ActiveIndividual· Audiologist· Port Jefferson Station, NY
Audiologist (AUD.) with ENT and Allergy Associates LLP, practicing in Port Jefferson Station, New York. Medicare paid $30,102 for services to 641 patients in 2024.
Overview
| NPI | 1205080413 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD. |
| Sole proprietor | No |
| NPI issued | Nov 14, 2008 |
| Last updated in NPPES | Mar 22, 2024 |
| Certified by provider | Mar 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 2240 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 641 |
|---|---|
| Services billed | 1,301 across 7 procedure codes |
| Paid by Medicare | $30,102 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- ENT and Allergy Associates LLPForest Hills, NY · 432 clinicians
Other Audiologist providers in Port Jefferson Station
- 1730307935
- 1932240728
- 1831364777
- 1457505539
- 1386014421
- 1194718205
- 1770606097
- 1760505085
- 1740807791