Jose R. Acosta, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JOSE R. ACOSTA, M.D., P.C.

Practice address

27 Sandy LN
Suite 140
Lewistown, PA 17044-1310

Phone

(717) 242-2711

Fax

(717) 248-0502

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Judy K Stayer

Title

Office Manager

Phone

(717) 242-2711

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose R Acosta, M.D.

  • Specialist
  • Lewistown, PA
  • NPI 1831147933
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811047012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SANDY LN",
            "address_2": "SUITE 140",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441310",
            "telephone_number": "717-242-2711",
            "fax_number": "717-248-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SANDY LN",
            "address_2": "SUITE 140",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441310",
            "telephone_number": "717-242-2711",
            "fax_number": "717-248-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE R. ACOSTA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAYER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-242-2711"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02552500",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "076706",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009520150004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Colleen Elise Jones, RDN
• Shrijana Joshee, PHARMD
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• Specialist in Lewistown, PA
• Providers in Lewistown, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.