RICHARD C COSTA (NPI# 1982693511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982693511 |
| Entity Type | Individual |
| Full Name | RICHARD C COSTA |
| Credential | D.O. |
| Practice Address |
339 N Route 73 Suite 1 Berlin NJ 08009-9707 |
| Mailing Address |
40 Lake Ctr 401 Route 73 North Suite 201a Marlton NJ 08053-3425 |
| Practice Telephone | 8567678228 |
| Practice Fax Number | 8567537836 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550346 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2013-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MB48420 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2098601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760416820 | Richard Manuel Costa | Social Worker | 9845 Horn Rd, Suite 250, Sacramento, CA 95827-1992 | 2006-07-11 |
| 1275544793 | Richard N Costa | Psychologist | 3450 Chestnut St, 3rd Floor, New Orleans, LA 70115-2443 | 2006-08-10 |
| Street Address |
339 N ROUTE 73 SUITE 1 |
| City | BERLIN |
| State | NJ |
| Zip Code | 08009-9707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306478649 | Joseph Carroll | Physician Assistant | 339 N Route 73, Berlin, NJ 08009-9707 | 2020-02-05 |
| 1396233474 | The Wounded Healer, Inc. D/b/a My Friends House Family Counseling Serv | Community/Behavioral Health | 339 N Route 73, Berlin, NJ 08009-9707 | 2018-04-25 |
| 1558859702 | The Wounded Healer, Inc. D/b/a My Friends House Family Counseling Serv | Community/Behavioral Health | 339 N Route 73, Berlin, NJ 08009-9707 | 2018-04-24 |
| 1386018398 | Eric Jacala | Physician Assistant | 339 N Route 73, Suite 1, Berlin, NJ 08009-9707 | 2015-11-16 |
| 1184025538 | Advocare, LLC | General Practice | 339 N Route 73, Suite 1, Berlin, NJ 08009-9707 | 2014-09-04 |
| 1306192539 | Giving Tree Counseling LLC | Clinic/Center | 339 N Route 73, Suite 7, Berlin, NJ 08009-9707 | 2012-07-25 |
| 1821275264 | Omotola Ugochuku | Dentist | 339 N Route 73, Suite 4, Berlin, NJ 08009-9707 | 2008-01-29 |
| 1023130895 | R. Lincoln Stolber | Dentist | 339 N Route 73, Winslow Prof. Bldg. Suite 4, Berlin, NJ 08009-9707 | 2007-04-04 |
| 1962528612 | Kelly M Paglione | Physician Assistant | 339 N Route 73, Suite 1, Berlin, NJ 08009-9707 | 2007-03-22 |
| 1912052861 | Professional Center Pharmacy | Pharmacist | 339 N Route 73, Winslow Professional Building, Berlin, NJ 08009-9707 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104365592 | Sean Gerard King | Physical Therapist | 115 Route 73 N, #80, Berlin, NJ 08009 | 2017-02-17 |
| 1407303472 | Phoebe Brady | Counselor | 116 Grove St., Berlin, NJ 08009 | 2016-09-07 |
| 1669929782 | Courtney Lynne Chambers | Nurse Practitioner | 16 Aristone Drive, Berlin, NJ 08009 | 2016-09-07 |
| 1346625423 | Amy Torpey | Social Worker | 128 Berlin Cross Keys Road, Berlin, NJ 08009 | 2015-07-30 |
| 1821479494 | Personalized Independent Living Opporuntities & Training Services | Day Training, Developmentally Disabled Services | 283 Jackson Road, Berlin, NJ 08009 | 2015-06-09 |
| 1821497520 | Joseph Cesarine | Emergency Medicine | 100 Townsend Aveniue, Berlin, NJ 08009 | 2014-08-19 |
| 1831443282 | Dedra Lombardi | Counselor | 16 Jason Drive, Berlin, NJ 08009 | 2012-11-07 |
| 1053620674 | Richard Nazer | Dentist | 339 North Route 73, Berlin, NJ 08009 | 2010-09-30 |
| 1134372329 | Caroline Rose Eisenberg | Dietitian, Registered | 127 Berlin Cross Keys Rd, Berlin, NJ 08009 | 2008-10-31 |
| 1720253743 | Terry L Fazio | Nurse Practitioner | 100 Townsend Rd, Bedin, NJ 08009 | 2008-04-30 |
| Find all providers in zip 08009 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093179400 | Justin Cherng Chuang | Family Medicine | Cvmc Hospitalist Department, 130 Fisher Road, 3rd Floor, Berlin, VT 05602-9000 | 2016-04-12 |
| 1952789265 | Brianne Teaboldt | Family Medicine | 133 Pleasant St Unit 2, Berlin, NH 03570 | 2015-05-07 |
| 1841587839 | Brian L Rodriguez | Family Medicine | 130 Fisher Rd., Ste. #3-1, Fahc-berlin Family Practice, Berlin, VT 05602 | 2011-06-29 |
| 1134428105 | Community Health Network | Family Medicine | W832 State Road 91, Ste 3, Berlin, WI 54923-8821 | 2011-03-16 |
| 1801038260 | Peninsula Regional Medical Center | Family Medicine | 10445 Ocean City Blvd, Unit #1, Berlin, MD 21811 | 2009-04-01 |
| 1306016050 | Atco Family Medical Associates, PC | Family Medicine | 10 Gardens Avenue, Berlin, NJ 08009-2104 | 2008-03-10 |
| 1336325596 | Jill E. Moorcroft | Family Medicine | 279 New Britain Rd, #6, Origins of Health, LLC, Berlin, CT 06037 | 2008-01-17 |
| 1902087190 | Richard Andrews Crandall IIi | Family Medicine | 1093 Brookfield Rd, Berlin, VT 05602-9065 | 2007-11-16 |
| 1174635536 | Angela L Gibbs | Family Medicine | 11200 Racetrack Rd, Ste A104, Berlin, MD 21811-3809 | 2006-08-31 |
| 1053347708 | Jennifer Brennan Bamford | Family Medicine | 130 Fisher Rd., Uvm Medical Center - Fm/berlin, Berlin, VT 05602 | 2006-06-24 |
| Find all providers in BERLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.