KELLY A COSTA


Address: 175 Cross Keys Rd, Berlin, NJ 08009-9263
Phone: 8567670077

KELLY A COSTA (NPI# 1235449810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235449810
Entity Type Individual
Full Name KELLY A COSTA
Other Name MS. KELLY A WOODS
Credential PA
Practice Address 175 Cross Keys Rd
Berlin
NJ 08009-9263
Mailing Address Po Box 3001
Voorhees
NJ 08043-0598
Practice Telephone 8567670077
Practice Fax Number 8567676102
Mailing Telephone 8567823300
Mailing Fax Number 8565048029
Enumeration Date 2010-10-15
Last Update Date 2016-10-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
25MP00246200 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 175 CROSS KEYS RD
City BERLIN
State NJ
Zip Code 08009-9263

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922002765 Michael A Hassman Family Medicine 175 Cross Keys Rd, 300a, Berlin, NJ 08009-9263 2005-06-09
1710423843 Krista R Hill Physician Assistant 175 Cross Keys Rd, Suite 300b, Berlin, NJ 08009-9263 2017-01-12
1255787198 Marlee Frankel Physician Assistant 175 Cross Keys Rd, Building 300a, Berlin, NJ 08009-9263 2016-05-10
1336518778 Russell Little Nurse Practitioner 175 Cross Keys Rd, Bldg. 300a, Berlin, NJ 08009-9263 2015-09-16
1194116525 Kurudi LLC Dentist 175 Cross Keys Rd, Suite 103, Berlin, NJ 08009-9263 2015-02-06
1891199188 Elissa Hassman Ophthalmology 175 Cross Keys Rd, Bldg. 300a, Berlin, NJ 08009-9263 2014-10-15
1053657668 Chelsey A Mahon Physician Assistant 175 Cross Keys Rd, Building 300a, Berlin, NJ 08009-9263 2012-12-31
1861773731 Melissa Wright Counselor 175 Cross Keys Rd, Suite B101, Berlin, NJ 08009-9263 2011-09-06
1164716775 Robin Leigh Deiner Counselor 175 Cross Keys Rd, Suite B-101, Berlin, NJ 08009-9263 2011-06-01
1649562042 Advocare, LLC Internal Medicine 175 Cross Keys Rd, Bldg. 300 A, Berlin, NJ 08009-9263 2011-05-04
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326457060 Elizabeth Afanasyev Physician Assistant 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 2014-08-06
1851532493 Juliana S Rossi Physician Assistant 11103 Cathage Rd, Berlin, MD 21811-2114 2009-03-11
1861649642 Mark Edwin Williams Physician Assistant 9714 Healthway Dr # Drl, Berlin, MD 21811-1154 2008-08-22
1790709459 Amber M Trochinski Physician Assistant 225 Memorial Dr Ste 1300, Berlin, WI 54923-1243 2006-07-27
1285244491 Isabelle Catherine Clauss Physician Assistant 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009-9263 2020-08-03
1336638287 Meredith Ann Mcnelis Physician Assistant 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009 2018-05-07
1629482989 Medhat A. El-sabawy Physician Assistant 10344 Old Ocean City Blvd, Berlin, MD 21811-1162 2014-06-15
1336448414 Holly B Ramsey Physician Assistant 133 Pleasant St, Berlin, NH 03570-2006 2011-03-15
1457670978 Tracy R. Helmbrecht Physician Assistant 225 Memorial Dr, Ste 2000, Berlin, WI 54923-1243 2010-05-24
1306021753 Craig Johnson Physician Assistant 10344 Old Ocean City Blvd, Suite B, Berlin, MD 21811 2008-01-04
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Competitor

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City BERLIN
Zip Code 08009

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Dataset Information

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.

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