Medard Acosta
Individual provider Active NPI Case Manager/Care Coordinator · Teterboro, NJ
NPI 1215510359 · NPPES record last updated May 5, 2021
Key facts
- NPI
- 1215510359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 100 Hollister Rd Unit 7
Teterboro, NJ 07608-1139 - Phone
- (201) 498-9140
- NPI assigned
- May 5, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Housing, Inc. | Current |
Accepting new patients | |
| Advance Housing, Inc. | Current |
Accepting new patients |
Locations
100 Hollister Rd
Unit 7
Teterboro, NJ 07608
Phone (201) 448-6895
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
100 Hollister Rd Unit 7
Teterboro, NJ 07608-1139
Mailing address
100 Hollister Rd Unit 7
Teterboro, NJ 07608-1139
Phone (201) 498-9140
Other providers in Teterboro, NJ
- Leidy Acevedo
- Temitope Adewuyi
- Dieudorne Albert
- Danah Alburo
- American Current Care of New Jersey PA
- Angel Eyecare LLC
All providers in Teterboro, NJ · Case Manager/Care Coordinator in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2021. 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.