IndividualActive
Kelly Costello
NPI 1700653151 · Specialist · Port Jefferson, NY
Kelly Costello is a Specialist provider in Port Jefferson, NY (NPI 1700653151).
Provider details
- NPI number
- 1700653151
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% 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
299 Hallock Avenue
Port Jefferson, NY 11776
Phone: (540) 532-8002
Street-level locationGet directions
Mailing address
34 E Main St # 184
Smithtown, NY 11787-2804
Registry dates
- Enumerated
- 2023-12-06
- Last updated
- 2023-12-06
- Certified
- 2023-11-30
Frequently asked questions
- What is Kelly Costello's NPI number?
- Kelly Costello's National Provider Identifier (NPI) is 1700653151, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Costello's specialty?
- Kelly Costello is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Kelly Costello located?
- Kelly Costello's practice location on file with NPPES is 299 Hallock Avenue, Port Jefferson, NY 11776.
- What is Kelly Costello's phone number?
- The practice phone number listed in the NPPES registry for Kelly Costello is (540) 532-8002.
- Is Kelly Costello's NPI active?
- Yes — Kelly Costello's NPI (1700653151) is active in the NPPES registry as of the last update on 2023-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.