Robert Lacosta, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

14000046643 Issued in NY

Practice address

398 Feura Bush Rd
Glenmont, NY 12077-2954

Phone

(518) 435-1250

Fax

(518) 449-3073

NPI assigned

Dec 13, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1508297730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 FEURA BUSH RD",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120772954",
            "telephone_number": "518-435-1250",
            "fax_number": "518-449-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 FEURA BUSH RD",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120772954",
            "telephone_number": "518-435-1250",
            "fax_number": "518-449-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOSTA",
        "first_name": "ROBERT",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-13",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000046643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Glenmont, NY
• Providers in Glenmont, NY by specialty
• Hearing Instrument Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.