Individual provider · Type 1 NPI

Alison J. Costalos I, NP

Acute Care Nurse Practitioner · South Orange, NJ

NPI number 1184673055 Active

Practice location

400 South Orange Ave
South Orange, NJ 07079

Mailing address

25 Holly St
Cranford, NJ 07016

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XF430168-1 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1184673055

Alison J. Costalos I, NP's National Provider Identifier is 1184673055, issued on May 9, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in South Orange, NJ. The record was last updated on Sep 28, 2026.