Individual provider Active NPI

Dalsia J Acosta, M.D

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1124186309
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
242267 Issued in NY
Practice address
571 Academy St Apt Gle
New York, NY 10034-5105
Phone
(212) 567-0550
Fax
(212) 567-6574
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 242267 NY Primary

Addresses

Primary practice location

571 Academy St Apt Gle
New York, NY 10034-5105

Mailing address

2 Ellwood St Apt 2Y
New York, NY 10040-1914
Phone (212) 569-2565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070814000330 NY Practitioner - Internal Medicine 3274624606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academy Medical Care PCGroup PAC ID 5193734200, 2 clinicians

Practice addresses (Care Compare)

571 Academy St
Suite Gle
New York, NY 10034-5104

571 Academy St
Suite Gle
New York, NY 10034-5105

571 Academy St Gle
New York, NY 10034-5105
Phone (212) 567-0550

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Academy Medical Care PC Internal Medicine CurrentSince Oct 31, 2007 Accepting new patients
Women'S Health Practice LLC PastSince Nov 8, 2017 Accepting new patients
City Heart Vascular PLLC Internal Medicine Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBAEAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EBAEAA/Endpoint/EBAEAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124186309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ELLWOOD ST APT 2Y",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401914",
            "telephone_number": "212-569-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 ACADEMY ST APT GLE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100345105",
            "telephone_number": "212-567-0550",
            "fax_number": "212-567-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "DALSIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "242267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.