Victor M Acosta, R.D.
Individual provider Active NPI Registered Dietitian · Bronx, NY
NPI 1497872337 · NPPES record last updated Jan 14, 2011
Key facts
- NPI
- 1497872337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2273 (NY)
- Practice address
- 1262 Boston Road
Boston Road Medical Center
Bronx, NY 10456 - Phone
- (212) 781-5889
- Fax
- (212) 781-5805
- NPI assigned
- Mar 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2273 | NY | MD | Registered Dietitian |
| 002273 | NY | MD | Athletic Trainer |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2273 | NY | Yes |
Addresses
Primary practice location
1262 Boston Road
Boston Road Medical Center
Bronx, NY 10456
Mailing address
1262 Boston Road
Boston Road Medical Center
Bronx, NY 10456
Phone (212) 781-5889
Other providers in Bronx, NY
- Nivia Magdalena Acosta
- Osvaldo Acosta Jr.
- Rafael Acosta
- Valerie Acosta
- Vianca Acosta
- David Harrison Acquaah
- Priscilla Harrison Acquaah
- Comfort Acquah
- Grace Amma Acquah
- Justina Acquah
All providers in Bronx, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2011. 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.