Joseph M Costa

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

331 Tavistock Blvd
Haddonfield, NJ 08033-3960

Phone

(908) 692-9604

NPI assigned

Jul 21, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1568035103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 TAVISTOCK BLVD",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080333960",
            "telephone_number": "908-692-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 TAVISTOCK BLVD",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080333960",
            "telephone_number": "908-692-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Joseph Connolly Jr., RPH
• Alicia Cooley, OT
• Cooper Medical Supply
• Cooper University Hospital
• David Michael Cordier, PH.D.
• Teresa Costantini, MSW, LCSW
• Wanda Rose Costanzo, PHD
• Melissa Cramutolo, LCSW
• Creative Process Wellness Center
• Richard John Crowell Jr., DPT

• All providers in Haddonfield, NJ
• Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.