Look up the most recent NPI and PECOS records

Carlos Acosta

Dentist

Dental Providers

165 Sherman Ave, 5d, New York, NY 10034-4602

PECOS Enrollment

Based on the most recent information from CMS, provider Carlos Acosta is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1831412865
Provider Type
Individual
Full Name
Acosta, Carlos
Title
Dr.
Credential
DDS

Gender
Male
Sole Proprietor
No
Enumeration Date
3/4/2010
Last Updated
3/4/2010

Contact Information

Practice Location

165 Sherman Ave, 5d, New York, NY 10034-4602

(718) 584-3826

(718) 584-7309

Mailing Location

165 Sherman Ave, 5d, New York, NY 10034-4602

(718) 584-3826

(718) 584-7309

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 046220-1 New York

Carlos Acosta

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Akilov, Rudolf

Family Dental Pc

Palange, Paul A

Evydent Dentistry Pc

Bernstein, Eric G

Ulerio-Bonilla, Isabel