Toni Costanzo, PA-C
NPI 1538654884 · Medical Physician Assistant · Newark, NJ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Toni Costanzo, PA-C is a Medical Physician Assistant provider in Newark, NJ (NPI 1538654884).
Provider details
- NPI number
- 1538654884
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 25MP00487300 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
25 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 14 | $156 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 11 | $155 |
Typical Medicare-allowed amounts for these services range $155–$156 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$67 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-06-28
- Last updated
- 2024-06-03
- Certified
- 2024-06-03
Frequently asked questions
- What is Toni Costanzo's NPI number?
- Toni Costanzo's National Provider Identifier (NPI) is 1538654884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Toni Costanzo's specialty?
- Toni Costanzo is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Toni Costanzo located?
- Toni Costanzo's practice location on file with NPPES is 201 Lyons Ave, Newark, NJ 07112-2027.
- What is Toni Costanzo's phone number?
- The practice phone number listed in the NPPES registry for Toni Costanzo is (973) 926-7240.
- Does Toni Costanzo accept Medicare?
- Toni Costanzo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Toni Costanzo's NPI active?
- Yes — Toni Costanzo's NPI (1538654884) is active in the NPPES registry as of the last update on 2024-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.