Individual provider Active NPI

Ralph F. Costa, MD

  • Family Medicine Physician
  • Hammonton, NJ
National Provider Identifier
1740217652
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA05022600 Issued in NJ
Practice address
75 S White Horse Pike FRNT
Hammonton, NJ 08037-1872
Phone
(609) 561-0128
Fax
(609) 461-4468
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA05022600 NJ Primary

Addresses

Primary practice location

75 S White Horse Pike FRNT
Hammonton, NJ 08037-1872

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (609) 561-0128

Other practice location 1

3242 Route 206 Ste A2
Bordentown, NJ 08505-4517
Phone (609) 298-4340

Other practice location 2

6500 K Johnson Blvd Ste 100A
Bordentown, NJ 08505-2282
Phone (609) 444-5410

Other practice location 3

401 Young Ave Ste 260A
Moorestown, NJ 08057-3130
Phone (856) 291-8756

Other practice location 4

2301 E Evesham Rd Ste 407
Voorhees, NJ 08043-4505
Phone (856) 816-8317

Other practice location 5

1613 Route 38 # 1
Lumberton, NJ 08048-2921
Phone (609) 444-5566

Other practice location 6

239 Hurffville Crosskeys Rd Ste 460
Sewell, NJ 08080-4009
Phone (856) 341-8181

Other practice location 7

6981 N Park Dr Ste 200A
Pennsauken, NJ 08109-4201
Phone (856) 663-4949

Other practice location 8

6508 Ventnor Ave
Ventnor City, NJ 08406-2177
Phone (609) 822-3027

Other practice location 9

19 W Main St Ste C
Maple Shade, NJ 08052-2411
Phone (856) 779-7386

Other practice location 10

1015 Briggs Rd Ste 200A
Mount Laurel, NJ 08054-4114
Phone (856) 234-2500

Other identifiers 1

IdentifierTypeStateIssuer
6359507MedicaidNJ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725001075 NJ Practitioner - Family Practice 3476454638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

Hospital & facility affiliations

  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05022600NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Family Medicine CurrentSince Mar 4, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 4, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Partners in Primary Care Inc Family Medicine Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

3242 US Highway 206
Ste A2
Bordentown, NJ 08505
Phone (609) 298-4340

75 S White Horse Pike
Frnt
Hammonton, NJ 08037
Phone (609) 561-0128

1613 Route 38
#1
Lumberton, NJ 08048
Phone (609) 444-5566

19 W Main St
Ste C
Maple Shade, NJ 08052
Phone (856) 779-7386

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

401 Young Ave
Ste 260A
Moorestown, NJ 08057
Phone (856) 291-8756

1015 Briggs Rd
Ste 200A
Mount Laurel, NJ 08054
Phone (856) 234-2500

6981 N Park Dr
Ste 200A
Pennsauken, NJ 08109
Phone (856) 663-4949

239 Hurffville Crosskeys Rd
Ste 460
Sewell, NJ 08080
Phone (856) 341-8181

6508 Ventnor Ave
Ventnor City, NJ 08406
Phone (609) 822-3027

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

Interoperability endpoints

  • Direct secure messaging: rcosta18047@directvirtua.org

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1740217652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "609-561-0128",
            "fax_number": "609-561-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S WHITE HORSE PIKE FRNT",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371872",
            "telephone_number": "609-561-0128",
            "fax_number": "609-461-4468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3242 Route 206 Ste A2",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "085054517",
            "country_code": "US",
            "telephone_number": "609-298-4340",
            "fax_number": "609-298-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 K Johnson Blvd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "085052282",
            "country_code": "US",
            "telephone_number": "609-444-5410",
            "fax_number": "609-444-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Young Ave Ste 260A",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573130",
            "country_code": "US",
            "telephone_number": "856-291-8756",
            "fax_number": "856-291-8750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 E Evesham Rd Ste 407",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434505",
            "country_code": "US",
            "telephone_number": "856-816-8317",
            "fax_number": "661-413-1142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1613 Route 38 # 1",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NJ",
            "postal_code": "080482921",
            "country_code": "US",
            "telephone_number": "609-444-5566",
            "fax_number": "609-261-5507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 460",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804009",
            "country_code": "US",
            "telephone_number": "856-341-8181",
            "fax_number": "856-341-8180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6981 N Park Dr Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Pennsauken",
            "state": "NJ",
            "postal_code": "081094201",
            "country_code": "US",
            "telephone_number": "856-663-4949",
            "fax_number": "856-663-6076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6508 Ventnor Ave",
            "address_purpose": "LOCATION",
            "city": "Ventnor City",
            "state": "NJ",
            "postal_code": "084062177",
            "country_code": "US",
            "telephone_number": "609-822-3027",
            "fax_number": "609-822-5195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 W Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Maple Shade",
            "state": "NJ",
            "postal_code": "080522411",
            "country_code": "US",
            "telephone_number": "856-779-7386",
            "fax_number": "856-779-7563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Briggs Rd Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080544114",
            "country_code": "US",
            "telephone_number": "856-234-2500",
            "fax_number": "856-234-3907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTA",
        "first_name": "RALPH",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA05022600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6359507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

Verify at the official NPI Registry.