Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ideanna Acosta, PA-C

Individual provider Medical Physician Assistant · NPI 1043763147

Ideanna Acosta, PA-C is a Medical Physician Assistant in Bronx, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1065 Southern Blvd
Bronx, NY 10459-2417
Phone: (718) 589-2440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2265 3rd Ave, New York, NY 10035-2231 — (212) 289-6650

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 022167 (NY)

Record details

NPI number1043763147
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 26, 2016
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024

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