Grace Acosta, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA063870 Issued in PA

Practice address

1420 Locust St
Philadelphia, PA 19102-4223

Phone

(215) 800-1909

NPI assigned

Sep 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• American Current Care PA

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1477734861

  PA

  Medicare reassignment NPD
• Pennsylvania Urgent Care Centers, PLLC

  • Urgent Care Clinic/Center
  • Downingtown, PA
  • NPI 1902128721
  Medicare reassignment
• American Current Care P.a.

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1376356568
  NPD
• Mydoc Urgent Care

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1689067472
  NPD (past)

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1184344756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S 47TH ST APT 238",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191394485",
            "telephone_number": "267-994-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024223",
            "telephone_number": "215-800-1909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3717 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191043164",
            "country_code": "US",
            "telephone_number": "215-921-8294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 Arch St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191073002",
            "country_code": "US",
            "telephone_number": "267-881-9111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 N Broad St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191223319",
            "country_code": "US",
            "telephone_number": "267-457-5553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "GRACE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acme Markets Inc
• Michael Richard Acord, MD
• Daniel Alejandro Acosta, DO
• Diana Acosta, R.N.
• Gabriela Acosta
• Jorge Acosta, MA
• Tiana Marie Acosta, MD
• Jennifer Marcus Acquaviva, MPT
• Nicole Acquaye
• Nancy B Acri, CRNA

• Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.