Organization Active NPI

Acosta Arnp, PA.

  • Surgical Physician Assistant
  • Miami, FL
National Provider Identifier
1942658182
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
ARNP 9266267 Issued in FL
Legal business name
ACOSTA ARNP, PA.
Practice address
7800 SW 87TH Ave Ste A320
Miami, FL 33173-3570
Phone
(305) 856-8445
Fax
(305) 856-6388
NPI assigned
May 27, 2016
Last updated
Jun 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Jorge Acosta, ARNPNPI 1215267166
Title
President
Phone
(305) 409-7825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X ARNP 9266267 FL Primary

Addresses

Primary practice location

7800 SW 87TH Ave Ste A320
Miami, FL 33173-3570

Mailing address

15805 SW 50TH Ter
Miami, FL 33185-5033
Phone (305) 409-7825

Other practice location 1

15805 SW 50th Ter
Miami, FL 33185-5033
Phone (305) 409-7825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161104000840 FL Part B Supplier - Clinic/Group Practice 9739467135 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL; Coral Gables, FL; Doral, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1942658182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15805 SW 50TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855033",
            "telephone_number": "305-409-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVE STE A320",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733570",
            "telephone_number": "305-856-8445",
            "fax_number": "305-856-6388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15805 SW 50th Ter",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331855033",
            "country_code": "US",
            "telephone_number": "305-409-7825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACOSTA ARNP, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-409-7825",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "ARNP 9266267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.