Active NPI
Regis F Acosta MD LLC
- Adult Mental Health Clinic/Center
- Sicklerville, NJ
National Provider Identifier
1427364488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 25MA0732300
- Legal business name
- REGIS F ACOSTA MD LLC
- Practice address
- 104 Independence Blvd
Sicklerville, NJ 08081-1039 - Phone
- (856) 885-4529
- NPI assigned
- Aug 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Regis F Acosta, MD
- Title
- Owner
- Phone
- (856) 885-4529
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 25MA0732300 | NJ | Primary |
Addresses
Primary practice location
104 Independence Blvd
Sicklerville, NJ 08081-1039
Mailing address
104 Independence Blvd
Sicklerville, NJ 08081-1039
Phone (856) 885-4529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Forensic Psychiatry Physician
- Sicklerville, NJ
- NPI 1366523011
-
- Child & Adolescent Psychiatry Physician
- Sicklerville, NJ
- NPI 1255401402
-
- Clinical Social Worker
- Hammonton, NJ
- NPI 1366616120
-
- Psychiatry Physician
- Magnolia, NJ
- NPI 1396812954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776038400000",
"number": "1427364488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 INDEPENDENCE BLVD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080811039",
"telephone_number": "856-885-4529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 INDEPENDENCE BLVD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080811039",
"telephone_number": "856-885-4529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIS F ACOSTA MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-27",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A",
"authorized_official_last_name": "ACOSTA",
"authorized_official_first_name": "REGIS",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-885-4529",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NJ",
"license": "25MA0732300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.