Personalized Primary Care Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PERSONALIZED PRIMARY CARE CENTER, LLC

Doing business as

Ralph F. Costa, MD

Practice address

2301 E Evesham Rd
Suite 407
Voorhees, NJ 08043-4501

Phone

(856) 685-7285

Fax

(856) 685-7675

NPI assigned

Jul 18, 2011

Last updated

Jul 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ralph F. Costa, MD

Title

Physician

Phone

(856) 685-7285

Specialties & licenses 1

Addresses

Other names 1

• Ralph F. Costa, MD Doing business as

Locations

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1316235880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD",
            "address_2": "SUITE 407",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-685-7285",
            "fax_number": "856-685-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD",
            "address_2": "SUITE 407",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-685-7285",
            "fax_number": "856-685-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED PRIMARY CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-685-7285",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ralph F. Costa, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Javas Vishan Persaud I
• Personalized Independent Living Opportunities and Training Services
• Personalized Independent Living Opportunities and Training Services (P.I.L.O.T. Services)
• Personalized Independent Living Opportunities and Training Services
• Personalized Independent Living Opporuntities & Training Services (P.I.L.O.T. Services)
• Nicholas Petaccio
• Robert Peterman, LAC
• Edward J Petrella, MD
• Medea Jani Petronis-Branch, LSW, MSW, CBHCMS
• Miranda L Peurala, CNM

• Family Medicine Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.