OrganizationActive
Ann R Costello
NPI 1144635087 · Non-Pharmacy Dispensing Site · Ithaca, NY
Ann R Costello is a Non-Pharmacy Dispensing Site organization in Ithaca, NY (NPI 1144635087).
Provider details
- NPI number
- 1144635087
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Scott Peterson, Cfo(858) 625-2990
- License
- 149866 (NY)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
217 N Aurora St
Suite 2
Ithaca, NY 14850-4345
Phone: (607) 273-2811
Street-level locationGet directions
Mailing address
9276 Scranton Rd
San Diego, CA 92121-7701
Other names (DBA / former)
- Doing business as
- Costello and Costello Mds
Registry dates
- Enumerated
- 2014-06-30
- Last updated
- 2017-01-13
Frequently asked questions
- What is Ann R Costello's NPI number?
- Ann R Costello's National Provider Identifier (NPI) is 1144635087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ann R Costello?
- Ann R Costello is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Ann R Costello located?
- Ann R Costello's practice location on file with NPPES is 217 N Aurora St, Ithaca, NY 14850-4345.
- What is Ann R Costello's phone number?
- The practice phone number listed in the NPPES registry for Ann R Costello is (607) 273-2811.
- Who is the authorized official for Ann R Costello?
- The authorized official listed on Ann R Costello's NPPES record is Scott Peterson, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ann R Costello's NPI active?
- Yes — Ann R Costello's NPI (1144635087) is active in the NPPES registry as of the last update on 2017-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.