Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Juan Ruddy Fondeur Acosta, MD

Individual provider Family Medicine Physician · NPI 1598442766

Juan Ruddy Fondeur Acosta, MD is a Family Medicine Physician in Brooklyn, New York. Works from 3 locations. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

318 Knickerbocker Ave
Brooklyn, NY 11237-3888
Phone: (718) 765-6056
Fax: (347) 803-1874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1001 Clifton Ave Ste 1b, Clifton, NJ 07013-3586 — (929) 633-0990
  • 98 Broadway, Passaic, NJ 07055-3903 — (929) 633-0990

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 347368 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25MA13127200 (NJ)

Record details

NPI number1598442766
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2023
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 17, 2026

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