Individual provider Active NPI

Restituto B Acosta, MD

  • Internal Medicine Physician
  • Rome, NY
National Provider Identifier
1902833866
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200043 Issued in NY
Practice address
117 West Liberty St
Suite 2
Rome, NY 13440
Phone
(315) 337-2582
Fax
(315) 337-2582
NPI assigned
Jun 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200043 NY Primary

Addresses

Primary practice location

117 West Liberty St
Suite 2
Rome, NY 13440

Mailing address

117 West Liberty St
Suite 2
Rome, NY 13440
Phone (315) 337-2582

Other identifiers 1

IdentifierTypeStateIssuer
02601696MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000997 NY Practitioner - Internal Medicine 4981666294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

200 W Dominick St
Rome, NY 13440-5846
Phone (315) 339-6536

305 Main St
Binghamton, NY 13905-2524
Phone (607) 729-1295

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Ddso Clinic Pittsford CurrentSince Jun 1, 2019 Accepting new patients
State of New York Comptrollers Office CurrentSince Jun 1, 2019 Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

305 Main St
Binghamton, NY 13905
Phone (607) 729-1295

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902833866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WEST LIBERTY ST",
            "address_2": "SUITE 2",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-337-2582",
            "fax_number": "315-337-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 WEST LIBERTY ST",
            "address_2": "SUITE 2",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-337-2582",
            "fax_number": "315-337-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "RESTITUTO",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02601696",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.