Organization Active NPI

Winslow Family Physicians, PA

  • Family Medicine Physician
  • Berlin, NJ
National Provider Identifier
1982710356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WINSLOW FAMILY PHYSICIANS, PA
Practice address
339 N Route 73
Suite 1
Berlin, NJ 08009-9707
Phone
(856) 767-8228
Fax
(856) 753-7826
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard C Costa, D.O.
Title
President
Phone
(856) 767-8228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

339 N Route 73
Suite 1
Berlin, NJ 08009-9707

Mailing address

339 N Route 73
Suite 1
Berlin, NJ 08009-9707
Phone (856) 767-8228

Other identifiers 1

IdentifierTypeStateIssuer
7545908MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982710356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 N ROUTE 73",
            "address_2": "SUITE 1",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099707",
            "telephone_number": "856-767-8228",
            "fax_number": "856-753-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 N ROUTE 73",
            "address_2": "SUITE 1",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099707",
            "telephone_number": "856-767-8228",
            "fax_number": "856-753-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSLOW FAMILY PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-767-8228",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7545908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.