Rudy Anthony Lacosse

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00503700 Issued in NJ

Practice address

1 Cooper PLZ
Camden, NJ 08103-1461

Phone

(856) 342-3150

NPI assigned

Sep 30, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, MD, DC, NJ4 enrollments

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 4

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M Medical Group, Inc. 104 clinicians

University of Maryland Community Medical Group Inc 446 clinicians

Mdics at BWMC LLC 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rlacosse926119@direct.umm.edu
• Direct secure messaging: rlacosse173051@direct.cooperhealth.edu

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.

• M Medical Group, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Clinton, MD
  • NPI 1780056168

  DC

  Medicare reassignment Care Compare group
• Mdics at BWMC LLC

  • Hospitalist Physician
  • Glen Burnie, MD
  • NPI 1306131578

  MD

  Medicare reassignment Care Compare group
• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624

  MD

  Medicare reassignment Care Compare group
• Advanced Inpatient Medicine Transitional Care - Ltcaco LLC

  • Internal Medicine Physician
  • Wilkes Barre, PA
  • NPI 1427944859

  PA

  Medicare reassignment NPD
• Cooper Physician Offices, PA

  • Internal Medicine Physician
  • Camden, NJ
  • NPI 1154369510

  NJ

  Medicare reassignment
• Adfinitas Health at Umcap, LLC

  • Hospitalist Physician
  • Largo, MD
  • NPI 1205585940

  DC

  Medicare reassignment
• Adfinitas Health at Upper Chesapeake Harford Memorial LLC

  • Hospitalist Physician
  • Havre de Grace, MD
  • NPI 1457051724

  MD

  Medicare reassignment
• Adfinitas Health Palliative Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Honesdale, PA
  • NPI 1710734785

  PA

  Medicare reassignment
• Advanced Inpatient Medicine Associates PC

  • Hospitalist Physician
  • Wilkes Barre, PA
  • NPI 1396168589

  PA

  Medicare reassignment
• Advanced Inpatient Medicine Lehigh PC

  • Hospitalist Physician
  • Hanover, MD
  • NPI 1437537875

  PA

  Medicare reassignment
• Advanced Inpatient Medicine PC

  • Hospitalist Physician
  • Scranton, PA
  • NPI 1871725366

  PA

  Medicare reassignment
• Advanced Inpatient Medicine Transitional Care PC

  • Internal Medicine Physician
  • Wilkes Barre, PA
  • NPI 1609247030

  PA

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baltimore Washington Medical Center Inc.

  • General Acute Care Hospital
  • Glen Burnie, MD
  • NPI 1124016696

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1285183236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-3150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Quincy Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185101724",
            "country_code": "US",
            "telephone_number": "570-770-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACOSSE",
        "first_name": "RUDY",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-30",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9109705",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060244",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00503700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Edward Kwiatt, M.D.
• Olga Kyriakou, MD
• Michael C Labarca
• Edmar Manabat Lacay, M.D.
• Richard D Lackman, MD
• Lauren Ashley Lacovara
• Melanie Lafferty, CRNA
• Caitlin Lagrotte, PSYD
• Brian M Lahmann, M.D.
• Michael Lajeunesse, M.D.

• All providers in Camden, NJ
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.