Brian Acosta, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Rochelle Park, NJ
NPI 1356296552 · NPPES record last updated Mar 3, 2026
Key facts
- NPI
- 1356296552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 41YS01300000 (NJ)
- Practice address
- 96 Parkway
Rochelle Park, NJ 07662-4200 - Phone
- (201) 679-4548
- NPI assigned
- Mar 3, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS01300000 | NJ | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS01300000 | NJ | Yes |
Addresses
Primary practice location
96 Parkway
Rochelle Park, NJ 07662-4200
Mailing address
36 Maple St
Ridgefield Park, NJ 07660-2215
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All providers in Rochelle Park, NJ · Speech-Language Pathologist 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 Mar 3, 2026. 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.