Rebecca P Acuna, MD
Individual provider Active NPI Pediatrics Physician · Staten Island, NY
NPI 1164522488 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164522488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 160610 (NY)
- Practice address
- 355 Bard Ave
Pediatrics
Staten Island, NY 10310 - Phone
- (718) 818-4518
- Fax
- (718) 818-2739
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richmond University Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 160610 | NY | Yes |
Addresses
Primary practice location
355 Bard Ave
Pediatrics
Staten Island, NY 10310
Mailing address
450 West 33 Rd Street
PBS 12TH Floor
New York, NY 10001
Phone (212) 356-4474
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.