REGIS F ACOSTA MD LLC


Address: 104 Independence Blvd, Sicklerville, NJ 08081-1039
Phone: 8568854529

REGIS F ACOSTA MD LLC (NPI# 1427364488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427364488
Entity Type Organization
Organization Name REGIS F ACOSTA MD LLC
Practice Address 104 Independence Blvd
Sicklerville
NJ 08081-1039
Practice Telephone 8568854529
Mailing Telephone 8568854529
Enumeration Date 2010-08-27
Last Update Date 2010-09-23
Authorized Official Name REGIS F ACOSTA (OWNER)
Authorized Official Telephone 8568854529
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
25MA0732300 NJ Ambulatory Health Care Facilities

Office Location

Street Address 104 INDEPENDENCE BLVD
City SICKLERVILLE
State NJ
Zip Code 08081-1039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255401402 Elizabeth Ann Burns Psychiatry & Neurology 104 Independence Blvd, Sicklerville, NJ 08081-1039 2006-11-08
1902162134 Caring Psychiatry, LLC Clinic/Center 104 Independence Blvd, Sicklerville, NJ 08081-1039 2012-04-02
1396812954 Jose Franco Doctor Reyes Psychiatry & Neurology 104 Independence Blvd, Sicklerville, NJ 08081-1039 2006-11-29

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962920850 Oaks Integrated Care Clinic/Center 1095 New Brooklyn Erial Rd, Sicklerville, NJ 08081-3284 2017-08-31
1497149041 J&t Behavioral Health and Counseling Services LLC Clinic/Center 602 Liberty Pl, Sicklerville, NJ 08081-5700 2015-03-21
1902162134 Caring Psychiatry, LLC Clinic/Center 104 Independence Blvd, Sicklerville, NJ 08081-1039 2012-04-02

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Competitor

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City SICKLERVILLE
Zip Code 08081

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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