Individual provider Active NPI

Angela Costa, DPM

  • Podiatrist
  • Emerson, NJ
National Provider Identifier
1174037097
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00352900 Issued in NJ
Practice address
440 Old Hook Rd
Emerson, NJ 07630-2302
Phone
(201) 358-0707
NPI assigned
Nov 30, 2017
Last updated
Jul 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 25MD00352900 NJ Primary

Addresses

Primary practice location

440 Old Hook Rd
Emerson, NJ 07630-2302

Mailing address

1945 State Route 33
Neptune, NJ 07753-4859

Other practice location 1

1945 State Route 33
Neptune, NJ 07753-4859
Phone (732) 776-4483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210806000130 NJ Practitioner - Podiatry 1254735608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

54 Bey Lea Rd
Suite 1
Toms River, NJ 08753-2978
Phone (732) 505-4500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of skin lesions1-10
Removal of nail tissue638
Removal or shaving of skin growth41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean County Foot & Ankle Surgical Associates Podiatrist CurrentSince Sep 1, 2021 Accepting new patients
Ocean County Foot & Ankle Surgical Associates Podiatrist CurrentSince Sep 1, 2021 Accepting new patients
Ocean County Foot & Ankle Surgical Associates Podiatrist Past Accepting new patients
Ocean County Foot & Ankle Surgical Associates Podiatrist Past Accepting new patients
Ocean County Foot & Ankle Surgical Associates PC Podiatrist Past Accepting new patients
Ocean County Foot & Ankle Surgical Associates Podiatrist Past Accepting new patients

Locations

194 Jack Martin Blvd
Unit 1A
Brick, NJ 08724
Phone (732) 458-4911

638 Lacey Rd
Forked River, NJ 08731
Phone (609) 693-3202

1178 Route 37 W
Toms River, NJ 08755
Phone 60992688991199

54 Bey Lea Rd
Ste 1
Toms River, NJ 08753
Phone (732) 505-4500

61 Lacey Rd
Whiting, NJ 08759
Phone (732) 281-0100

Interoperability endpoints

  • Direct secure messaging: acosta@usfas.emadirect.md

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1174037097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 STATE ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 OLD HOOK RD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076302302",
            "telephone_number": "201-358-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 State Route 33",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077534859",
            "country_code": "US",
            "telephone_number": "732-776-4483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTA",
        "first_name": "ANGELA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00352900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerson, NJ

Sources for this page

Verify at the official NPI Registry.