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DR. ERIC ROBERT REQUA D.O.
NPI 1164788501
Family Medicine - Sports Medicine in Marlton, NJ

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1001 ROUTE 73 N LOWR LEVEL, MARLTON, NJ 08053(844) 908-5483(856) 355-7106 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2020, Jul 12, 2019, Jan 30, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Eric Robert Requa D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC ROBERT REQUA D.O. (NPI 1164788501) is an individual sports medicine provider in Marlton, New Jersey, licensed in New Jersey (25MB09913200) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1164788501
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. ERIC ROBERT REQUACredential: D.O.
Location Address1001 ROUTE 73 N LOWR LEVELMarlton, NJ 08053-4524
Mailing Address2000 Crawford Pl Ste 200Mount Laurel, NJ 08054-3954 · (856) 355-0340 · Fax (856) 355-0330
Phone(844) 908-5483
Fax(856) 355-7106
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2012
Enumeration DateApril 10, 2012
Last NPPES UpdateOctober 15, 20205 updates tracked since enumeration
NPPES CertifiedOctober 15, 2020
✔ NPI 1164788501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in NJ · 25MB09913200
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License OS017463 (PA)
1001 ROUTE 73 N LOWR LEVEL, Marlton, NJ 08053
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Secondary Practice Locations 8

Location 1315 Route 70 ECherry Hill, NJ 08034-2408 · Phone (856) 375-6240 · Fax (856) 375-6241
Location 2239 Hurffville Crosskeys Rd Ste 160Sewell, NJ 08080-4005 · Phone (856) 341-8200 · Fax (856) 341-8215
Location 31001 Route 73 NMarlton, NJ 08053-4524 · Phone (856) 355-7120 · Fax (856) 355-7121
Location 4128 Route 70 Ste 1Medford, NJ 08055-2371 · Phone (609) 367-0900 · Fax (609) 367-0901
Location 5401 Young Ave Ste 180Moorestown, NJ 08057-3139 · Phone (856) 291-8600 · Fax (856) 291-8610
Location 6158 Route 73 Ste BVoorhees, NJ 08043-9539 · Phone (856) 247-7230 · Fax (856) 247-7231
Location 7602 W Cuthbert Blvd Unit 26Haddon Township, NJ 08108-3642 · Phone (856) 946-5180 · Fax (856) 946-5181
Location 8555 High St Ste 16AMount Holly, NJ 08060-1084 · Phone (609) 444-5610 · Fax (609) 444-5611

Other Identifiers 2

Medicaid103056183PA
Medicaid103025113PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Eric Robert Requa D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890008254
PECOS Enrollment IDI20170406001859
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eric Requa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Virtua Medical Group, PA
1.3 mi
Urgent Care
158 ROUTE 73 STE B
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
NPI 1912457755 (856) 247-7230

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,096 services143 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
247 services158 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
219 services107 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
90 services21 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
89 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
76 services61 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310061
Location218A Sunset RoadWillingboro, NJ 08046 · Burlington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUKHWINDER BHULAR
Podiatrist (Foot & Ankle Surgery)
1001 ROUTE 73 N LOWR LEVEL
MARLTON, NJ 08053
Burlington County (856) 548-7634
GERARD A. COLLINS DPM
Podiatrist (Foot Surgery)
1001 ROUTE 73 N LOWR LEVEL
MARLTON, NJ 08053
Burlington County (856) 548-7634
DR. THOMAS SACCHETTA JR. DPM
Podiatrist (Foot & Ankle Surgery)
1001 ROUTE 73 N LOWR LEVEL
MARLTON, NJ 08053
Burlington County (855) 548-7634
DR. FLAVIA FILISIO DPM
Podiatrist (Foot & Ankle Surgery)
1001 ROUTE 73 N LOWR LEVEL
MARLTON, NJ 08053
Burlington County (855) 548-7634
DR. SONAM PATEL DPM
Podiatrist (Foot & Ankle Surgery)
1001 ROUTE 73 N LOWR LEVEL
MARLTON, NJ 08053
Burlington County (855) 548-7634

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Requa's NPI number?

The NPI number for Eric Requa is 1164788501. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Eric Requa located?

Eric Requa practices at 1001 Route 73 N Lowr Level, Marlton, NJ 08053. The listed phone number is (844) 908-5483.

What is Eric Requa's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Eric Requa enrolled in Medicare?

Yes. Eric Requa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Eric Requa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Requa reassigns Medicare benefits to Virtua Medical Group, PA (Voorhees, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eric Requa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Requa accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Eric Requa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Eric Requa affiliated with any hospitals?

According to CMS data, Eric Requa is affiliated with West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital, Virtua Mount Holly Hospital and Virtua Willingboro Hospital.

When was this NPI record last updated?

The NPPES record for Eric Requa was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.