Matthew Louis Costa (NPI# 1942554555, PAC ID# 2769725670) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1942554555 |
| PAC ID by PECOS | 2769725670 |
| Professional Enrollment ID | I20190516001472 |
| Full Name | Matthew Louis Costa |
| Organization Legal Name | JAG-ONE PHYSICAL THERAPY LLC |
| Address |
240 Cedar Knolls Rd Cedar Knolls NJ 07927-1621 |
| Phone Number | 9139988100 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2769584325 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 240 Cedar Knolls Rd, Cedar Knolls, NJ 07927-1621 | 9139988100 | JAG-ONE PHYSICAL THERAPY LLC |
| 461 Main St, Chatham, NJ 07928-2102 | 9736351000 | JAG-ONE PHYSICAL THERAPY LLC |
| Organization Legal Name | JAG-ONE PHYSICAL THERAPY LLC |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Willmann | Physical Therapy | Jag-one Physical Therapy LLC | 34 Mountain Blvd, Warren, NJ 07059-2640 |
| Glenn V Forsyth | Physical Therapy | Jag-one Physical Therapy LLC | 50 Mount Prospect Ave, Suite 206, Clifton, NJ 07013-1900 |
| Rebecca Kovaly | Physical Therapy | Jag-one Physical Therapy LLC | 254 Texas Rd, Old Bridge, NJ 08857-4008 |
| Rita Sawaged | Physical Therapy | Jag-one Physical Therapy LLC | 433 Hackensack Ave, Fl 2, Hackensack, NJ 07601-6316 |
| Tessa Gilson | Physical Therapy | Jag-one Physical Therapy LLC | 240 Cedar Knolls Rd, Cedar Knolls, NJ 07927-1621 |
| Riddhi Patel | Physical Therapy | Jag-one Physical Therapy LLC | 10 Woodbridge Ctr Dr, Suite 102, Woodbridge, NJ 07095-1153 |
| David Switay | Physical Therapy | Jag-one Physical Therapy LLC | 461 Main St, Chatham, NJ 07928-2102 |
| Dina Lombardo | Physical Therapy | Jag-one Physical Therapy LLC | 622 Eagle Rock Ave, West Orange, NJ 07052-2994 |
| Lauren M Molinelli | Physical Therapy | Jag-one Physical Therapy LLC | 2107 Route 35, Holmdel, NJ 07733-2795 |
| Casey A Boutillier | Physical Therapy | Jag-one Physical Therapy LLC | 244 Route 46 E, Fairfield, NJ 07004-2332 |
| Street Address |
240 CEDAR KNOLLS RD |
| City | CEDAR KNOLLS |
| State | NJ |
| Zip | 07927-1621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tessa Gilson | Physical Therapy | Jag-one Physical Therapy LLC | 240 Cedar Knolls Rd, Cedar Knolls, NJ 07927-1621 |
| Kristy Racz | Physical Therapy | Jag-one Physical Therapy LLC | 240 Cedar Knolls Rd, Cedar Knolls, NJ 07927-1621 |
| Samantha L Dwyer | Physical Therapy | Jag-one Physical Therapy LLC | 240 Cedar Knolls Rd, Cedar Knolls, NJ 07927-1621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Vogel | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Ratna Choudhary | Anesthesiology | Ambulatory Anesthesia Physicians, LLC | 14 Ridgedale Ave, Cedar Knolls, NJ 07927-1106 |
| Emmanuel K Adjin | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Carline Archille | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Adolfo C Lamanna | Anesthesiology | Ambulatory Anesthesia Physicians, LLC | 14 Ridgedale Ave, Cedar Knolls, NJ 07927-1106 |
| Vladimir Stashchyshyn | Physical Therapy | 14 Ridgedale Ave, Suite 102, Cedar Knolls, NJ 07927-1106 | |
| Elizabeth M Corvino | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Colleen Geller | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Kimberly F Tulloch | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Eve R Kessler | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Find all physicians in zip 07927 | |||
| City | CEDAR KNOLLS |
| Zip Code | 07927 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CEDAR KNOLLS + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Matthew Louis Costa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.