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

Gary Costanzo, PA

Individual provider Medical Physician Assistant · NPI 1417103128

Gary Costanzo, PA is a Physician Assistant in Manchester, New Hampshire. Qualified in 2008, 18 years ago. Practices with Elliot Professional Services, a 424-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
18
Licensed in
NH
In the registry since
2008
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

1 Elliot Way Emergency Rm
Manchester, NH 03103-3502
Phone: (603) 663-2830
Fax: (603) 663-1849
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0686 (NH)

Record details

NPI number1417103128
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 13, 2008
Last updated in NPPESOctober 14, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Elliot Professional Services — 424 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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