Dr. Antoinette Geraldine Costa, M.D.
Internal Medicine, Geriatric Medicine in East Orange, NJ. Individual provider (NPI-1).
NPI number1790791671
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790791671
- Entity type
- Individual (NPI-1)
- Name
- Dr. Antoinette Geraldine Costa
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 31, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | 25 MA 04272000 | NJ | Yes |
Practice location
385 Tremont AveEast Orange, NJ 07018-1023
Phone 973-676-1000 · Fax 973-395-7010
Mailing address
181 McMane AveBerkeley Heights, NJ 07922-2202
Phone 908-665-2087
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Other Geriatric Medicine (Internal Medicine) Physician providers in East Orange, NJ
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