Individual provider Active NPI

Juan Fernando Acosta, DO

  • Emergency Medicine Physician
  • Bronx, NY
National Provider Identifier
1316940968
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
213508 Issued in NY
Practice address
4422 3Rd Ave
Bronx, NY 10457-2545
Phone
(718) 960-5627
Fax
(718) 960-6125
NPI assigned
May 27, 2005
Last updated
Feb 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 213508 NY Primary

Addresses

Primary practice location

4422 3Rd Ave
Bronx, NY 10457-2545

Mailing address

4838 45TH St
Woodside, NY 11377-7036
Phone (718) 433-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040714001345 NY Practitioner - Emergency Medicine 5799764742 Reassigns benefits to 4 organizations
I20090505000071 WA Practitioner - Emergency Medicine 5799764742 Reassigns benefits to 2 organizations
I20170623001451 OH Practitioner - Emergency MedicinePractitioner - Osteopathic Manipulative Medicine 5799764742 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siena Emergency Medical Services PCGroup PAC ID 9830257625, 15 clinicians

Practice addresses (Care Compare)

50 Route 25a
Smithtown, NY 11787-1348
Phone (240) 686-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as individual
Quality
88.62
Improvement activities
0
Cost
77.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoning Valley Emergency Specialists LLC Emergency Medicine CurrentSince Jun 15, 2017 Accepting new patients
Sunnyside Emergency Group a Professional LLC Emergency Medicine CurrentSince Jul 19, 2014 Accepting new patients
New York University CurrentSince Jul 1, 2024 Accepting new patients
New York University Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Washington Emergency Physician Partners PLLC Emergency Medicine CurrentSince Sep 1, 2015 Accepting new patients
Siena Emergency Medical Services, P.C. Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Washington Emergency Physician Partners, PLLC Emergency Medicine CurrentSince Sep 1, 2015 Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince Mar 10, 2019 Accepting new patients
Port Emergency Medical Services, P.C. Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Mves Austintown LLC Emergency Medicine CurrentSince Jun 15, 2017 Accepting new patients
Quarry Road Emergency Services P.C. Emergency Medicine Past Accepting new patients
Yakima Emergency Group a Professional Limited Liability Com Emergency Medicine Past Accepting new patients
Cowiche Creek Emergency Physicians Emergency Medicine Past Accepting new patients
Bronx Park Urgent Medical Care PC Past Accepting new patients
Columbia Valley Emergency Physicians LLC Emergency Medicine Past Accepting new patients
TBHC Emergency Medicine PC Emergency Medicine Past Accepting new patients
Washington Em-I Medical Services PC Emergency Medicine Past Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000

Interoperability endpoints

  • Direct secure messaging: jacosta651229@nyumc.direct-ci.com

Organizations & group practices 18

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

View all 18

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1316940968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 45TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113777036",
            "telephone_number": "718-433-1928",
            "fax_number": "718-228-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-5627",
            "fax_number": "718-960-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "JUAN",
        "middle_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "213508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.