Iris Berangell Acosta Amezquita, APN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NJ01279900 Issued in NJ

Practice address

613 Park Ave
East Orange, NJ 07017-1905

Phone

(973) 672-8573

Fax

(888) 412-1759

NPI assigned

Mar 5, 2022

Last updated

Jul 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Roseville Medical Society LLCGroup PAC ID 3072939255, 15 clinicians

Salerno Medical Associates, LLCGroup PAC ID 3678676434, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13207/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roseville Medical Society LLC

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1275168320
  Medicare reassignment Care Compare group NPD
• Salerno Medical Associates, LLC

  dba Prospect Spine and Pain

  • Internal Medicine Physician
  • East Orange, NJ
  • NPI 1184766107
  Medicare reassignment Care Compare group NPD
• Metropolitan Medical Group LLC

  • Internal Medicine Physician
  • East Orange, NJ
  • NPI 1700442415
  Medicare reassignment NPD
• North Ward Medical Arts LLC

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1538790563
  Medicare reassignment NPD
• Senior Healthcare Outreach Program

  • Geriatric Medicine (Internal Medicine) Physician
  • East Orange, NJ
  • NPI 1588707954
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1295482610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 PARK AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171905",
            "telephone_number": "973-672-8573",
            "fax_number": "888-412-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 PARK AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171905",
            "telephone_number": "973-672-8573",
            "fax_number": "888-412-1759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Black Oak Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074706350",
            "country_code": "US",
            "telephone_number": "201-673-6324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACOSTA AMEZQUITA",
        "first_name": "IRIS",
        "middle_name": "BERANGELL",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01279900",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01279900",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01279900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latifah G Abdus-Salaam, RD
• Sana Abeer, DMD
• Rosetta Abraham, LMSW
• Adrienne B Abramowitz, PHD
• Access Family Services, Inc.
• Acumedcare, Corp.
• Samuel Babatunde Adegboyega, DPM
• Rilwan Adigun
• Adorable Healthcare Services
• Aniesh M Adorno, LAC

• Primary Care Nurse Practitioner in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.