Kelly A Costa (NPI# 1235449810, PAC ID# 6103001151) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1235449810 |
| PAC ID by PECOS | 6103001151 |
| Professional Enrollment ID | I20110506000298 |
| Full Name | Kelly A Costa |
| Organization Legal Name | ADVOCARE LLC |
| Address |
175 Cross Keys Rd Suite 300a Berlin NJ 08009-9263 |
| Phone Number | 8567670077 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3678562188 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310086 | JEFFERSON STRATFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 175 Cross Keys Rd, Suite 300a, Berlin, NJ 08009-9263 | 8567670077 | ADVOCARE LLC |
| 132 Grove St, Suite A, Haddonfield, NJ 08033-1224 | 8563542211 | ADVOCARE LLC |
| 7665 Maple Ave, Pennsauken, NJ 08109-3328 | 8566659520 | ADVOCARE LLC |
| Organization Legal Name | ADVOCARE LLC |
| Physicians | 199 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan Marhefka | Nurse Practitioner | Advocare LLC | 400 Valley Rd, Suite 105, Mount Arlington, NJ 07856-2316 |
| Heather Stang | Physician Assistant | Advocare LLC | 169 Mine Brook Rd, Bernardsville, NJ 07924-2125 |
| Samuel Friedman | Family Medicine | Advocare LLC | 183 Us 206, Flanders, NJ 07836 |
| Bruce M Taubman | Pediatric Medicine | Advocare LLC | 600 Marlton Pike W, Advocare Cherry Hill Pediatrics, Cherry Hill, NJ 08002-3598 |
| Katherine Park | Certified Nurse Midwife (cnm) | Advocare LLC | 1000 Rev Dr Martin Luther King Jr Dr, Willingboro, NJ 08046-2852 |
| Denise Novaes | Pediatric Medicine | Advocare LLC | 77 Union St, Dover, NJ 07801-4030 |
| Jamie Zacharias | Internal Medicine | Advocare LLC | 409 Kings Hwy S, Advocare Allergy and Asthma, Cherry Hill, NJ 08034-2512 |
| Angela G Knestaut | Pediatric Medicine | Advocare LLC | 19 Village Ctr Dr, Swedesboro, NJ 08085-1417 |
| Jeffrey Blackman | Pediatric Medicine | Advocare LLC | 525 Route 73 S 104a, Advocare South Jersey Sports and Spin, Marlton, NJ 08053-9643 |
| Brian J Portanova | Nurse Practitioner | Advocare LLC | 54 E Main St, Marlton, NJ 08053-2141 |
| Street Address |
175 CROSS KEYS RD SUITE 300A |
| City | BERLIN |
| State | NJ |
| Zip | 08009-9263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard M Mauriello | Family Medicine | Advocare LLC | 175 Cross Keys Rd, Suite 300a, Berlin, NJ 08009-9263 |
| Rajesh P Farmer | Podiatry | Foot Health Centers, P.a | 175 Cross Keys Rd, Suite 204, Berlin, NJ 08009-9263 |
| Nicholas J Giorgianni Jr. | Podiatry | Foot Health Centers, P.a | 175 Cross Keys Rd, Suite 204, Berlin, NJ 08009-9263 |
| Marlee Frankel | Physician Assistant | Advocare LLC | 175 Cross Keys Rd, Suite 300a, Berlin, NJ 08009-9263 |
| Joseph J Savon | Gastroenterology | South Jersey Gastroenterology, Pa | 175 Cross Keys Rd, Suite 300, Berlin, NJ 08009-9263 |
| Meredith Ann Mcnelis | Physician Assistant | Advocare LLC | 175 Cross Keys Rd, Suite 300a, Berlin, NJ 08009-9263 |
| Nicholas G Palladino | Internal Medicine | Advocare LLC | 175 Cross Keys Rd, Suite 300a, Berlin, NJ 08009-9263 |
| David A Wright | Physical Therapy | Advocare LLC | 175 Cross Keys Rd, Suite 300a, Berlin, NJ 08009-9263 |
| Joseph M Hassman | Family Medicine | Advocare LLC | 175 Cross Keys Rd, Suite 300a, Berlin, NJ 08009-9263 |
| David R Hassman | Family Medicine | Advocare LLC | 175 Cross Keys Rd, Suite 300a, Berlin, NJ 08009-9263 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marlene M Massaro | Chiropractic | 12 W Taunton Ave, Berlin, NJ 08009-1442 | |
| Pratima D Parikh | Internal Medicine | 15 E Taunton Ave, Berlin, NJ 08009-1622 | |
| Patricia A Spiegel | Chiropractic | 262 S White Horse Pike, Berlin, NJ 08009-1902 | |
| David Gigliotti | Family Medicine | Advocare LLC | 181 W White Horse Pike, 100 Advocare Gigliotti Family Medicine, Berlin, NJ 08009-2032 |
| Tamara E Minghenelli | Nurse Practitioner | Advocare LLC | 181 W White Horse Pike, 100 Advocare Gigliotti Family Medicine, Berlin, NJ 08009-2032 |
| Kristin A Le Beau | Nurse Practitioner | Advocare LLC | 181 W White Horse Pike, 100 Advocare Gigliotti Family Medicine, Berlin, NJ 08009-2032 |
| John Anthon Laratta | Family Medicine | 23 Harker Ave, Berlin, NJ 08009-2331 | |
| Neil H Dorfman | Ophthalmology | 20 E Taunton Rd, Bldg 2, Berlin, NJ 08009-2603 | |
| Daniel L Herriman | Internal Medicine | Emergency Physician Associates of South Jersey PC | 100 Townsend Ave, Berlin, NJ 08009-9011 |
| Joseph C Hummel | Emergency Medicine | Emergency Physician Associates of South Jersey PC | 100 Townsend Ave, Berlin, NJ 08009-9011 |
| Find all physicians in zip 08009 | |||
| City | BERLIN |
| Zip Code | 08009 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BERLIN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelly A 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.