Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corey Costa, PA

Individual provider Physician Assistant · NPI 1891266102

Corey Costa, PA is a Physician Assistant in Hamburg, New York. Qualified in 2018, 8 years ago. Practices with Mobile Physician Services PLLC, a 100-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5775 Maelou Dr
Hamburg, NY 14075-7419
Phone: (716) 242-9873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 023377 (NY)

Record details

NPI number1891266102
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 13, 2018
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address8911 N Capital Of Texas Hwy Ste 1110, Austin, TX 78759-7203

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mobile Physician Services Pllc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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