DR. IRENE GONCHAROV DNP
NPI 1215523782
Nurse Anesthetist, Certified Registered in Newark, NJ
About Dr. Irene Goncharov Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. IRENE GONCHAROV DNP (NPI 1215523782) is an individual nurse anesthetist, certified registered in Newark, New Jersey, licensed in New Jersey (26NJ01087000) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Irene Goncharov Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Irene Goncharov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newark, NJ 07103
- Reassigned Medicare billing, New Jersey enrollment
- 45 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The University Hospital
Acute Care Hospitals · Newark, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Irene Goncharov's NPI number?
The NPI number for Irene Goncharov is 1215523782. It was assigned to this individual provider in the NPPES registry on December 17, 2020.
Where is Irene Goncharov located?
Irene Goncharov practices at 150 Bergen St # E245, Newark, NJ 07103. The listed phone number is (973) 972-7867.
What is Irene Goncharov's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Irene Goncharov enrolled in Medicare?
Yes. Irene Goncharov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Irene Goncharov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Irene Goncharov reassigns Medicare benefits to University Hospital (Newark, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Irene Goncharov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Irene Goncharov affiliated with any hospitals?
According to CMS data, Irene Goncharov is affiliated with The University Hospital.
When was this NPI record last updated?
The NPPES record for Irene Goncharov was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Irene Goncharov, DNP · NPI 1215523782
Nurse Anesthetist, Certified Registered physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since December 17, 2020.
## Identity
- **NPI:** 1215523782 (Entity type: Individual)
- **Enumerated:** December 17, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 26NJ01087000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 150 BERGEN ST # E245, Newark, NJ 07103-2496
- **Phone:** (973) 972-7867
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** University Hospital (NPI 1609045277, Newark, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1215523782) · Data from the CMS NPPES public registry.