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

Rudy Anthony Lacosse

Individual provider Physician Assistant · NPI 1285183236

Rudy Anthony Lacosse is a Physician Assistant in Camden, New Jersey. Qualified in 2014, 12 years ago. Practices with M Medical Group, Inc, a 107-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, New Jersey and Pennsylvania.

Years since qualifying
12
Licensed in
FL, NJ, PA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

1 Cooper Plz
Camden, NJ 08103-1461
Phone: (856) 342-3150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 Quincy Ave, Scranton, PA 18510-1724 — (570) 770-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00503700 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 9109705 (FL)
Physician Assistant Taxonomy 363A00000X · Licence MA060244 (PA)

Record details

NPI number1285183236
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2016
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice M Medical Group, Inc. — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Camden