IDEANNA ACOSTA PA-C
NPI 1043763147
Physician Assistant - Medical in Bronx, NY
About Ideanna Acosta Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDEANNA ACOSTA PA-C (NPI 1043763147) is an individual medical provider in Bronx, New York, licensed in New York (022167) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ideanna Acosta Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10459
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 Ideanna Acosta's NPI number?
The NPI number for Ideanna Acosta is 1043763147. It was assigned to this individual provider in the NPPES registry on July 26, 2016.
Where is Ideanna Acosta located?
Ideanna Acosta practices at 1065 Southern Blvd, Bronx, NY 10459. The listed phone number is (718) 589-2440.
What is Ideanna Acosta's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Ideanna Acosta enrolled in Medicare?
Yes. Ideanna Acosta is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ideanna Acosta was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ideanna Acosta, PA-C · NPI 1043763147
Medical physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since July 26, 2016.
## Identity
- **NPI:** 1043763147 (Entity type: Individual)
- **Enumerated:** July 26, 2016
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 022167 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1065 SOUTHERN BLVD, Bronx, NY 10459-2417
- **Phone:** (718) 589-2440
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1043763147) · Data from the CMS NPPES public registry.