Ann R Costello
Ann R Costello is a healthcare organization registered as Non-Pharmacy Dispensing Site in Ithaca, NY, holding Type 2 (organization) NPI 1144635087 since 2014. The authorized official on file is Scott Peterson, Cfo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1144635087 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ann R Costello |
| Other name | <Unavail> |
| Parent organization | Medvantx, Inc. |
| Practice address | 217 N AURORA ST, SUITE 2, Ithaca, NY, 14850 |
| Phone | 6072732811 |
| Enumeration date | 2014-06-30 |
| Last updated in NPPES | 2017-01-13 |
Authorized official
| Name | Scott Peterson |
|---|---|
| Title | Cfo |
| Phone | 8586252990 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | Primary | 149866 | NY |
Copy-ready billing details
Provider: Ann R Costello NPI: 1144635087 Taxonomy: 332900000X (Non-Pharmacy Dispensing Site) Address: 217 N AURORA ST, SUITE 2, Ithaca, NY, 14850
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1629064142 | Elizabeth Hoffmeier | Individual | Family Nurse Practitioner | Ithaca, NY |
| 1235125626 | Ann Costello | Individual | Internal Medicine Physician | Ithaca, NY |
| 1871589267 | John Costello | Individual | Internal Medicine Physician | Ithaca, NY |
| 1851368732 | Lucia Jander | Individual | Internal Medicine Physician | Ithaca, NY |
| 1528269230 | Ann R. Costello, MD | Organization | Internal Medicine Physician | Ithaca, NY |
| 1013244722 | Jessa Dauria | Individual | Adult Health Nurse Practitioner | Ithaca, NY |
| 1629378062 | Stephanie Gumaer | Individual | Clinical Social Worker | Ithaca, NY |
| 1356629240 | Judith Griffin | Individual | Internal Medicine Physician | Ithaca, NY |
Verify this record
Cross-check NPI 1144635087 against the authoritative CMS record: view Ann R Costello on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Ann R Costello?
What is the NPI number for Ann R Costello?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-01-13.