Organization Active NPI

Costa Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Eatontown, NJ
National Provider Identifier
1497562177
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
COSTA ORTHOPEDICS, LLC
Practice address
135 RT 35
Suite 7
Eatontown, NJ 07724
Phone
(732) 440-7322
Fax
(732) 217-2483
NPI assigned
Dec 16, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Anthony Joseph Costa, MDNPI 1982677910
Title
Owner
Phone
(732) 440-7322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

135 RT 35
Suite 7
Eatontown, NJ 07724

Mailing address

135 RT 35
Suite 7
Eatontown, NJ 07724
Phone (732) 440-7322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241220001830 NJ Part B Supplier - Clinic/Group Practice 7315474947 Receives reassigned benefits from 3 practitioners
Practice locations: Eatontown, NJ
O20250618000394 NJ DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7315474947 Practice locations: Eatontown, NJ

National Provider Directory

National Provider Directory

Locations

135 Highway 35
Ste 7
Eatontown, NJ 07724
Phone (732) 440-7322

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1497562177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 RT 35",
            "address_2": "SUITE 7",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-440-7322",
            "fax_number": "732-217-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 RT 35",
            "address_2": "SUITE 7",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-440-7322",
            "fax_number": "732-217-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTA ORTHOPEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-440-7322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.