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

Jennifer Costello-Siri

Individual provider Early Intervention Provider Agency · NPI 1053557298

Jennifer Costello-Siri is a Clinical Social Worker in Jamaica, New York. Qualified in 2007, 19 years ago. Practices with Osh - PA Physicians Group, PC, a 114-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

11515 Sutphin Blvd
Jamaica, NY 11434-1020
Phone: (187) 656-0097
Fax: (347) 682-4302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1048 Beach 20th St, Far Rockaway, NY 11691-3900 — (718) 765-6342
  • 305 Winthrop Dr, Ithaca, NY 14850-1736 — (646) 318-2807

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 081170 (NY)
Early Intervention Provider Agency Taxonomy 252Y00000X · Licence 076568-1 (NY)

Record details

NPI number1053557298
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 17, 2008
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Osh - Pa Physicians Group, Pc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Jamaica