CENNIA NICOLE ACOSTA


Address: 916-922 Main Ave, Suite 1a, Passaic, NJ 07055-8544
Phone: 9737730334

CENNIA NICOLE ACOSTA (NPI# 1306275037) 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) 1306275037
Entity Type Individual
Full Name CENNIA NICOLE ACOSTA
Credential PA-C
Practice Address 916-922 Main Ave
Suite 1a
Passaic
NJ 07055-8544
Practice Telephone 9737730334
Practice Fax Number 9737730336
Mailing Telephone 9737730334
Mailing Fax Number 9737730336
Enumeration Date 2013-11-04
Last Update Date 2013-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
25MP00320100 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 916-922 MAIN AVE
SUITE 1A
City PASSAIC
State NJ
Zip Code 07055-8544

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073779658 Center for Adult Medicine and Preventive Care, PC Clinic/Center 916-922 Main Ave, Suite 1a, Passaic, NJ 07055-8544 2008-08-02
1700292851 Andres Vega Internal Medicine 916-922 Main Ave, Passaic, NJ 07055 2014-07-09
1215350269 Center for Med Care, PC Clinic/Center 916-922 Main Ave, Passaic, NJ 07055-8544 2014-01-28

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851741755 Clarina Kunnath Physician Assistant 350 Boulevard, Passaic, NJ 07055-2840 2016-06-21
1346690583 Kendra Moore Physician Assistant 350 Boulevard, Passaic, NJ 07055-2840 2016-06-19
1871921783 Jessica Rosales Physician Assistant 913 Main Ave, Passaic, NJ 07055-8540 2013-10-31
1124279930 Yassel Marie Legoff Physician Assistant 913 Main Ave, Passaic, NJ 07055-8540 2008-10-10
1669651253 Joanne L Mendoza Physician Assistant 350 Boulevard, Passaic, NJ 07055-2840 2007-10-30
1386844223 Cassandra Vincent Physician Assistant 350 Boulevard, Passaic, NJ 07055-2840 2007-07-19

Providers in the same taxonomy and state

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1891300612 Heather C. Williamson Physician Assistant 57 Willis Dr, West Trenton, NJ 08628 2020-09-09
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1982226270 Alexandra Bellisario Physician Assistant 7 Normandy Pl, Colts Neck, NJ 07722-1174 2020-05-11
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Competitor

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City PASSAIC
Zip Code 07055

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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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