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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00246200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
175 CROSS KEYS RD |
City | BERLIN |
State | NJ |
Zip Code | 08009-9263 |
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 |
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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
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.