Individual provider Active NPI

Nina Mercedes Acosta, DPT

  • Physical Therapist
  • Milltown, NJ
National Provider Identifier
1518726348
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02237400 Issued in NJ
Practice address
246 Ryders LN
Milltown, NJ 08850-1353
Phone
(732) 246-3585
NPI assigned
Mar 14, 2024
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02237400 NJ Primary

Addresses

Primary practice location

246 Ryders LN
Milltown, NJ 08850-1353

Mailing address

346 Leon Ave
Perth Amboy, NJ 08861-2124
Phone (732) 570-9204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322001251 NJ Practitioner - Physical Therapist in Private Practice 5294172524 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kiara Physical Therapy LLC Physical Therapist CurrentSince Mar 14, 2024 Accepting new patients
Aaria Physical Therapy Inc Physical Therapist CurrentSince Mar 14, 2024 Accepting new patients
Krishna Physical Therapy LLC PastSince Mar 14, 2024 Accepting new patients

Locations

7 Edgeboro Rd
#111
East Brunswick, NJ 08816
Phone (732) 246-3585

976 Inman Ave
Edison, NJ 08820
Phone (617) 943-3321

246 Ryders Ln
Milltown, NJ 08850
Phone (732) 246-3585

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1518726348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 LEON AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612124",
            "telephone_number": "732-570-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 RYDERS LN",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501353",
            "telephone_number": "732-246-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "NINA",
        "middle_name": "MERCEDES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02237400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milltown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.

Verify at the official NPI Registry.