Individual provider Active NPI

Jancy Roensa Victoria, APN-C

  • Primary Care Nurse Practitioner
  • Lakewood, NJ
National Provider Identifier
1568988665
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
311355 Issued in NY
Practice address
685 River Ave Unit 3
Lakewood, NJ 08701-5288
Phone
(732) 486-7373
Fax
(973) 928-2716
NPI assigned
Aug 21, 2017
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 311355 NY Primary
Primary Care Nurse Practitioner 363LP2300X 11988 CT

Addresses

Primary practice location

685 River Ave Unit 3
Lakewood, NJ 08701-5288

Mailing address

685 River Ave Unit 3
Lakewood, NJ 08701-5288
Phone (732) 486-7373

Other practice location 1

81 Holly Hill Ln Fl 3
Greenwich, CT 06830-2945
Phone (203) 869-5515

Other practice location 2

246 Clifton Ave Ste 4
Clifton, NJ 07011-1953
Phone (973) 928-2715

Other identifiers 1

IdentifierTypeStateIssuer
311355OtherNYADVANCED PRACTICE NURSE

Other names 1

  • Jancy Roensa Tejada Acosta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180918000940 NJ Practitioner - Nurse Practitioner 9638420417 Reassigns benefits to 2 organizations
I20231110000334 NY Practitioner - Nurse Practitioner 9638420417 Reassigns benefits to 2 organizations
I20240730004563 FL Practitioner - Nurse Practitioner 9638420417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
FL Mobile Medical PAGroup PAC ID 3476099169, 3 clinicians
Medical Associate of Wall Street, P.CGroup PAC ID 1658598198, 12 clinicians

Practice addresses (Care Compare)

4033 Tampa Rd
Suite 100
Oldsmar, FL 34677-3224
Phone (203) 869-5515

6 Maiden LN
RM 500
New York, NY 10038-5140
Phone (212) 233-3040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.62 of 100Reported as group
Quality
77.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gmed Healthcare PC CurrentSince Jul 28, 2018 Accepting new patients
FL Mobile Medical PA CurrentSince Jul 1, 2024 Accepting new patients
Personal NP Services, LLC CurrentSince Dec 11, 2018 Accepting new patients
Medical Associate of Wall Street, P.C. CurrentSince Oct 15, 2023 Accepting new patients

Locations

67 Holly Hill Ln
Ste 102
Greenwich, CT 06830
Phone (203) 622-1881

81 Holly Hill Ln
Fl 3
Greenwich, CT 06830
Phone (203) 884-8420

4033 Tampa Rd
Ste 100
Oldsmar, FL 34677

246 Clifton Ave
Ste 4
Clifton, NJ 07011
Phone (973) 330-6765

685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

2175 Quarry Rd
Bronx, NY 10457
Phone (718) 960-3900

66 Van Cortlandt Park S
Bronx, NY 10463
Phone (718) 304-1812

6 Maiden Ln
Rm 500
New York, NY 10038
Phone (929) 630-4100

6 Maiden Ln
Rm 500500ML
New York, NY 10038

6 Maiden Ln
Ste 500ML
New York, NY 10038

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1568988665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 RIVER AVE UNIT 3",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015288",
            "telephone_number": "732-486-7373",
            "fax_number": "732-282-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 RIVER AVE UNIT 3",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015288",
            "telephone_number": "732-486-7373",
            "fax_number": "973-928-2716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Holly Hill Ln Fl 3",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068302945",
            "country_code": "US",
            "telephone_number": "203-869-5515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "246 Clifton Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070111953",
            "country_code": "US",
            "telephone_number": "973-928-2715",
            "fax_number": "973-928-2716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICTORIA",
        "first_name": "JANCY",
        "middle_name": "ROENSA",
        "name_prefix": "Mrs.",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "311355",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "11988",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSE",
            "identifier": "311355",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANCY",
            "last_name": "TEJADA ACOSTA",
            "middle_name": "ROENSA",
            "credential": "APN-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.