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

Dr. Justin Costa, DO

Individual provider Pediatrics Physician · NPI 1700114378

Dr. Justin Costa, DO is a Pediatrics Physician in Frederick, Maryland. Licensed in Maryland and Virginia. Registered with an NPI since 2009.

Licensed in
MD, VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1475 Taney Ave Ste 201
Frederick, MD 21702-5126
Phone: (301) 662-0133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence H0082753 (MD)
Pediatrics Physician Taxonomy 208000000X · Licence 0102202786 (VA)

Record details

NPI number1700114378
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 19, 2009
Last updated in NPPESJuly 30, 2021
Certification dateJuly 29, 2021
Mailing address1475 Taney Ave Ste 201, Frederick, MD 21702-5126

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