NPIMap

Juan Fernando Acosta, DO

Individual provider Active NPI Emergency Medicine Physician · Bronx, NY

NPI 1316940968 · NPPES record last updated Feb 1, 2008

Key facts

NPI
1316940968
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
213508 (NY)
Practice address
4422 3Rd Ave
Bronx, NY 10457-2545
Phone
(718) 960-5627
Fax
(718) 960-6125
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

Medicare Care Compare profile

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 PC (15 clinicians)

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Long Island Community Hospital Hospital · Patchogue, NY · CCN 330141
  • St Catherine of Siena Hospital Hospital · Smithtown, NY · CCN 330401

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100 (group)
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100 (individual)
Quality
88.62
Improvement activities
0
Cost
77.86

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in NY, WA, OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

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 Medicine
Practitioner - Osteopathic Manipulative Medicine		 5799764742 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

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

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

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

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

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

Specialties & licenses

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

Addresses

Primary practice location

4422 3Rd Ave
Bronx, NY 10457-2545

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
02136170MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 1, 2008.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02136170",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

All providers in Bronx, NY · Emergency Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.