Active NPI
Victor William Acquista, M.D.
- Internal Medicine Physician
- Palmer, MA
National Provider Identifier
1528091097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 51763
- Practice address
- 175 State Ave
Palmer, MA 01069-1843 - Phone
- (413) 596-9353
- Fax
- (413) 289-1019
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 51763 | MA | Primary |
Addresses
Primary practice location
175 State Ave
Palmer, MA 01069-1843
Mailing address
175 State Ave
Palmer, MA 01069-1843
Phone (413) 596-9353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6172539 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51763 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Health Care Corporation | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Bala Cynwyd, PA
- NPI 1669666467
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528091097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 STATE AVE",
"city": "PALMER",
"state": "MA",
"postal_code": "010691843",
"telephone_number": "413-596-9353",
"fax_number": "413-289-1019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 STATE AVE",
"city": "PALMER",
"state": "MA",
"postal_code": "010691843",
"telephone_number": "413-596-9353",
"fax_number": "413-289-1019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACQUISTA",
"first_name": "VICTOR",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "51763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6172539",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmer, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.