Jezabel Desiree Rodriguez Acosta

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

A6422434 Issued in PA

Practice address

321 N Keyser Ave
Scranton, PA 18504-9788

Phone

(570) 710-9757

NPI assigned

Apr 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1831944776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KEYSER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185049788",
            "telephone_number": "570-710-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KEYSER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185049788",
            "telephone_number": "570-710-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ ACOSTA",
        "first_name": "JEZABEL",
        "middle_name": "DESIREE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "PA",
            "license": "A6422434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Rocco
• Vincent Rocco
• James J. Roche, M.D.
• Harry Eric Rockower, MD
• Paul Dominick Roczniak, RPH
• Raul Adrian Rodriguez Nunez
• Elaine Rodriguez
• Jennifer Leigh Rodriguez
• Amanda C Rodski, M.D., M.B.A.
• Thomas M Roe, M.D.

• Non-emergency Medical Transport (VAN) in Scranton, PA
• Providers in Scranton, PA by specialty
• Non-emergency Medical Transport (VAN) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.