- Practice location
- 1065 Southern Blvd, Bronx, NY 10459-2417
- Phone
- 718-589-2440
- Fax
- —
- Last updated
- June 21, 2024
Ideanna Acosta is a Physician Assistant, Medical based in Bronx, NY. Ideanna Acosta practices in Bronx, NY and has the professional credentials of PA-C. The NPI Number for Ideanna Acosta is 1043763147 and holds a License No. 022167 (NY). The current practice location address for Ideanna Acosta is 1065 Southern Blvd, Bronx, NY 10459-2417 and can be reached out via phone at 718-589-2440.
Provider Profile Details
- NPI Number
- 1043763147
- Provider Name
- Ideanna Acosta
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1065 Southern Blvd, Bronx, NY 10459-2417
- Phone Number
- 718-589-2440
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 26, 2016
- Last Update Date
- June 21, 2024
- Certification Date
- June 21, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1065 Southern Blvd
Bronx, NY 10459-2417 - City
- Bronx
- State
- New York
- Zip
- 10459-2417
- Phone Number
- 718-589-2440
Provider Business Mailing Address Details
- Address
- 1065 Southern Blvd
Bronx, NY 10459-2417 - City
- Bronx
- State
- NY
- Zip
- 10459-2417
License Information
- License Number
- 022167
- License State
- NY
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ideanna Acosta, PA-C?
The NPI number of Ideanna Acosta, PA-C is 1043763147. It was assigned on July 26, 2016 and is currently active in the NPPES registry.
What is the specialty of Ideanna Acosta, PA-C?
Ideanna Acosta, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 022167.
Where does Ideanna Acosta, PA-C practice?
The practice location is 1065 Southern Blvd, Bronx, NY 10459-2417. The office can be reached at 718-589-2440 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043763147 directly on the NPPES registry website.