Semyon Kostko · Internal Medicine Physician

9932 66th Rd Ste Lp, Rego Park, NY 11374-4401

Overview

Semyon Kostko is a Internal Medicine Physician practicing in Rego Park, New York. The National Provider Identifier (NPI) is #1467490896, which was assigned on June 4, 2006, and the registration record was last updated on December 9, 2025. The practitioner's main practice location is at 9932 66th Rd Ste Lp, Rego Park, NY 11374-4401; the contact telephone number is 7182755200. The primary taxonomy of Semyon Kostko is Internal Medicine Physician (207R00000X). Semyon Kostko is licensed to practice in the state of New York (#234140-1).

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Information

NPI 1467490896
Entity Type Individual
Provider Name SEMYON KOSTKO
Gender Male
Credential M.D.
Practice Address 9932 66th Rd Ste Lp
Rego Park
NY 11374-4401
Practice Telephone 7182755200
Mailing Address 9932 66th Rd Ste Lp
Rego Park
NY 11374-4401
Mailing Telephone 7189027737
Certification Date 2025-12-09
Enumeration Date 2006-06-04
Last Update Date 2025-12-09
Is Sole Proprietor Y

Doctor and Clinician Information

PAC ID 5092763979
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name SEMYON KOSTKO
Primary Specialty INTERNAL MEDICINE
Organization Legal Name KOSTKO MEDICAL PLLC
Address 9876 Queens Blvd
Suite 1jk
Rego Park
NY 11374-4398

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207R00000XInternal Medicine234140-1NY

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
02621089NYMEDICAID

Taxonomy Information

Primary Taxonomy

Code 207R00000X
Taxonomy Internal Medicine Physician
Classification Internal Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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Location Information

Street Address 9932 66TH RD STE LP
City REGO PARK
State NY
Zip Code 11374-4401
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Kostko Medical PLLC 9932 66th Rd Ste Lp, Rego Park, NY 11374-4401Internal Medicine Physician2015-02-18

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Queenspharm Rx, Corp. 9601 63rd Dr, Rego Park, NY 11374Long Term Care Pharmacy2025-12-01
True Body Physical Therapy PLLC 6536 99th Street, Ste 1d, Rego Park, NY 11374-1046Physical Therapist2024-08-13
Jessica Nicole Gordon 9522 63rd Rd Unit 431, Rego Park, NY 11374-1142Clinical Social Worker2021-02-19
Irina Simidchieva 6210 99th Street, Apt.6a, Rego Park, NY 11374Social Worker2017-06-08
Deborah Jones 97-29 64th Road, Rego Park, NY 11374Mental Health Counselor2008-05-15
Angela Christina Ferri 6344 Saunders St Ste 106, Rego Park, NY 11374Mental Health Counselor2022-07-13
Krystal-Ann Gopichand 6155 98th St Apt 3j, Rego Park, NY 11374-1486Professional Counselor2013-06-24
Comprehensive Licensed Behavior Analyst, PLLC. 6264 Saunders St Apt D3, Rego Park, NY 11374-1510Behavioral Analyst2018-02-02
Ferry Vic Frias De Leon 64-85 Booth Street Rego Park, Queens, NY 11374Physical Therapist2022-12-06
Speech Pathology Services PC 97-28 63rd Road, Rego Park, NY 11374Speech-Language Pathologist2025-09-26
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Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Kostko Medical PLLC 9932 66th Rd Ste Lp, Rego Park, NY 11374-4401Internal Medicine Physician2015-02-18
Semyon Zarkhin 2617 Development Dr, Green Bay, WI 54311-4240Dermatology Physician2007-07-23

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.