Active NPIIndividual providerSole proprietor

Iris B Acosta Amezquita, APN

Nurse Practitioner, Primary Care in East Orange, New Jersey

NPI Number1295482610
Practice location
613 Park Ave, East Orange, NJ 07017-1905
Fax
888-412-1759
Last updated
July 8, 2022

Iris Berangell Acosta Amezquita is a Nurse Practitioner, Primary Care based in East Orange, NJ. Iris Berangell Acosta Amezquita practices in East Orange, NJ and has the professional credentials of APN. The NPI Number for Iris Berangell Acosta Amezquita is 1295482610 and holds a License No. 26NJ01279900 (NJ). The current practice location address for Iris Berangell Acosta Amezquita is 613 Park Ave, East Orange, NJ 07017-1905 and can be reached out via phone at 973-672-8573 and via fax at 888-412-1759.

Provider Profile Details

NPI Number
1295482610
Provider Name
Iris Berangell Acosta Amezquita
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
613 Park Ave, East Orange, NJ 07017-1905
Phone Number
973-672-8573
Fax Number
888-412-1759
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
Yes
Provider Enumeration Date
March 5, 2022
Last Update Date
July 8, 2022
Certification Date
July 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
613 Park Ave
East Orange, NJ 07017-1905
Zip
07017-1905
Phone Number
973-672-8573
Fax Number
888-412-1759
East Orange, NJ 07017Get directions →

Provider Business Mailing Address Details

Address
613 Park Ave
East Orange, NJ 07017-1905
City
East Orange
State
NJ
Zip
07017-1905
Phone Number
973-672-8573
Fax Number
888-412-1759

License Information

License Number (1)
26NJ01279900
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
26NJ01279900
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X
License Number (3)
26NJ01279900
License State (3)
NJ
Taxonomy (3)
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Iris B Acosta Amezquita, APN?

The NPI number of Iris B Acosta Amezquita, APN is 1295482610. It was assigned on March 5, 2022 and is currently active in the NPPES registry.

What is the specialty of Iris B Acosta Amezquita, APN?

Iris B Acosta Amezquita, APN is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in NJ under license number 26NJ01279900.

Where does Iris B Acosta Amezquita, APN practice?

The practice location is 613 Park Ave, East Orange, NJ 07017-1905. The office can be reached at 973-672-8573 (phone) or 888-412-1759 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295482610 directly on the NPPES registry website.

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