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

Thomas E Costello, MD

Individual provider Physical Therapist · NPI 1093957342

Thomas E Costello, MD is a Family Practice in Melville, New York. Qualified in 2009, 17 years ago. Practices with Digestive Disease Care, PC, a 40-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

150 Broadhollow Rd Ste 120
Melville, NY 11747-4901
Phone: (631) 450-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 267336 (NY)
Physical Therapist Taxonomy 225100000X · Licence 011915 (NY)

Record details

NPI number1093957342
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2009
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023
Mailing addressPo Box 464, Huntington Station, NY 11746-0374

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Digestive Disease Care, Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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