Robert Costello MD LLC
NPI 1790154540ActiveOrganization· Internal Medicine· Wayne, NJ
Internal Medicine in Wayne, New Jersey, registered in NPPES in September 2015. The authorized official on file is Robert E. Costello, MD, Authorized Representative. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790154540 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 23, 2015 |
| Last updated in NPPES | Sep 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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