Individual provider Active NPI

Yanitza Acevedo, NP-C

  • Internal Medicine Physician
  • Lyndhurst, NJ
National Provider Identifier
1902297716
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26NJ00547000 Issued in NJ
Practice address
125 Chubb Ave Ste 100S
Lyndhurst, NJ 07071-3504
Phone
(201) 448-0931
NPI assigned
Feb 16, 2015
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26NJ00547000 NJ Primary

Addresses

Primary practice location

125 Chubb Ave Ste 100S
Lyndhurst, NJ 07071-3504

Mailing address

125 Chubb Ave Ste 100S
Lyndhurst, NJ 07071-3504
Phone (201) 448-0931

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170214002199 NJ Practitioner - Nurse Practitioner 8527341734 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00547000NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palisades Medical Associates LLC Internal Medicine CurrentSince Mar 12, 2018 Accepting new patients
Medical Service Professionals of NJ LLC CurrentSince Aug 9, 2024 Accepting new patients
Cardiovascular Associates of Teaneck PA Past Accepting new patients

Locations

30 Montgomery St
Fl 15
Jersey City, NJ 07302
Phone (551) 247-1029

125 Chubb Ave
Ste 100S
Lyndhurst, NJ 07071
Phone (201) 559-7600

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

8100 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 656-4104

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1902297716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CHUBB AVE STE 100S",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713504",
            "telephone_number": "201-448-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHUBB AVE STE 100S",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713504",
            "telephone_number": "201-448-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "YANITZA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "26NJ00547000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

Verify at the official NPI Registry.