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

Iris Berangell Acosta Amezquita, APN

Individual provider Adult Health Nurse Practitioner · NPI 1295482610

Iris Berangell Acosta Amezquita, APN is a Nurse Practitioner in East Orange, New Jersey. Qualified in 2022, 4 years ago. Practices with Roseville Medical Society LLC, a 15-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
Specialties on file
3
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

613 Park Ave
East Orange, NJ 07017-1905
Phone: (973) 672-8573
Fax: (888) 412-1759
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1012 Black Oak Ridge Rd, Wayne, NJ 07470-6350 — (201) 673-6324

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 26NJ01279900 (NJ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 26NJ01279900 (NJ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 26NJ01279900 (NJ)

Record details

NPI number1295482610
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorYes
NPI enumeratedMarch 5, 2022
Last updated in NPPESJuly 8, 2022
Certification dateJuly 8, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Roseville Medical Society Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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