- Practice location
- 318 Knickerbocker Ave, Brooklyn, NY 11237-3888
- Phone
- 718-765-6056
- Fax
- 347-803-1874
- Last updated
- September 17, 2026
Juan Ruddy Fondeur Acosta is a Family Medicine based in Brooklyn, NY. Juan Ruddy Fondeur Acosta practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Juan Ruddy Fondeur Acosta is 1598442766 and holds a License No. 25MA13127200 (NJ). The current practice location address for Juan Ruddy Fondeur Acosta is 318 Knickerbocker Ave, Brooklyn, NY 11237-3888 and can be reached out via phone at 718-765-6056 and via fax at 347-803-1874.
Provider Profile Details
- NPI Number
- 1598442766
- Provider Name
- Juan Ruddy Fondeur Acosta
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 318 Knickerbocker Ave, Brooklyn, NY 11237-3888
- Phone Number
- 718-765-6056
- Fax Number
- 347-803-1874
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Other Names
- Juan Ruddy Fondeur Soni, MD (Other Name)
- Provider Enumeration Date
- June 29, 2023
- Last Update Date
- September 17, 2026
- Certification Date
- September 17, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 318 Knickerbocker Ave
Brooklyn, NY 11237-3888 - City
- Brooklyn
- State
- New York
- Zip
- 11237-3888
- Phone Number
- 718-765-6056
- Fax Number
- 347-803-1874
Provider Business Mailing Address Details
- Address
- Po Box 746087
Atlanta, GA 30374-6087 - City
- Atlanta
- State
- GA
- Zip
- 30374-6087
- Phone Number
- 833-804-1695
- Fax Number
- 312-929-0373
License Information
- License Number (1)
- 25MA13127200
- License State (1)
- NJ
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 347368
- License State (2)
- NY
- Taxonomy (2)
- Family Medicine · 207Q00000X · 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 Juan R Fondeur Acosta, MD?
The NPI number of Juan R Fondeur Acosta, MD is 1598442766. It was assigned on June 29, 2023 and is currently active in the NPPES registry.
What is the specialty of Juan R Fondeur Acosta, MD?
Juan R Fondeur Acosta, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA13127200.
Where does Juan R Fondeur Acosta, MD practice?
The practice location is 318 Knickerbocker Ave, Brooklyn, NY 11237-3888. The office can be reached at 718-765-6056 (phone) or 347-803-1874 (fax).
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 1598442766 directly on the NPPES registry website.