Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATIAS M DCOSTA, MD
ActiveMATIAS M DCOSTA, MD is a Internal Medicine healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1053374827 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1053374827
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2006 (20.197572628869 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
G75168 (CA)1764091 (NY)
Practice Information
- Address
-
931 HALLOCK AVEPORT JEFFERSON STATION, NY, 117761228Browse NY providers · Browse ZIP 11776
- Phone
- 6313317200
- Fax
- 6313318636
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Gastroenterology
Other Internal Medicine Providers in PORT JEFFERSON STATION, NY
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD JOHN WIETING | M.D. | 1639158678 |
| DR. ROBERT MORMANDO | D.O. | 1306816129 |
| DR. ROBERT C GIACOBBE | D.O. | 1154394930 |
| DR. CHRISTINE M FRUTH GIACOBBE | D.O. | 1417920208 |
| DR. JOHN J RICCIARDELLI | M.D. | 1497729099 |
| DEEPTI GUPTA | M.D. | 1619936069 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.