Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Eric Robert Requa, DO

Individual provider Family Medicine Physician · NPI 1164788501

Dr. Eric Robert Requa, DO is a Family Practice in Marlton, New Jersey. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2012, 14 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 10 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
14
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
NJ, PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1001 Route 73 N Lowr Level
Marlton, NJ 08053-4524
Phone: (844) 908-5483
Fax: (856) 355-7106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (9)

  • 315 Route 70 E, Cherry Hill, NJ 08034-2408 — (856) 375-6240
  • 315 Route 70 E, Cherry Hill, NJ 08034-2408 — (856) 375-6240
  • 602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 08108-3642 — (856) 946-5180
  • 1001 Route 73 N, Marlton, NJ 08053-4524 — (856) 355-7120
  • 128 Route 70 Ste 1, Medford, NJ 08055-2371 — (609) 367-0900
  • 401 Young Ave Ste 180, Moorestown, NJ 08057-3139 — (856) 291-8600
  • 555 High St Ste 16a, Mount Holly, NJ 08060-1084 — (609) 444-5610
  • 239 Hurffville Crosskeys Rd Ste 160, Sewell, NJ 08080-4005 — (856) 341-8200
  • 158 Route 73 Ste B, Voorhees, NJ 08043-9539 — (856) 247-7230

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 25MB09913200 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS017463 (PA)

Record details

NPI number1164788501
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 10, 2012
Last updated in NPPESOctober 15, 2020
Certification dateOctober 15, 2020
Mailing address2000 Crawford Pl Ste 200, Mount Laurel, NJ 08054-3954

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2012 (14 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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