ANNADALE NP IN FAMILY HEALTH P.C.
NPI 1558232108
Clinic/Center - Primary Care in Staten Island, NY
About Annadale Np In Family Health P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNADALE NP IN FAMILY HEALTH P.C. (NPI 1558232108) is a healthcare organization registered as a primary care in Staten Island, New York and active in the NPI registry since September 2025. The organization lists Irena Hovhannisyan, Fnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Annadale Np In Family Health P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Annadale Np In Family Health P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Annadale Np In Family Health P.C.'s NPI number?
The NPI number for Annadale Np In Family Health P.C. is 1558232108. It was assigned to this organization in the NPPES registry on September 16, 2025.
Where is Annadale Np In Family Health P.C. located?
Annadale Np In Family Health P.C. is located at 3974 Amboy Rd Ste 302, Staten Island, NY 10308. The listed phone number is (718) 967-1071.
What is Annadale Np In Family Health P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Annadale Np In Family Health P.C. enrolled in Medicare?
Yes. Annadale Np In Family Health P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Annadale Np In Family Health P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Annadale Np In Family Health P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Annadale Np In Family Health P.C. was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Annadale Np In Family Health P.c. · NPI 1558232108
Primary Care organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since September 16, 2025.
## Identity
- **NPI:** 1558232108 (Entity type: Organization)
- **Enumerated:** September 16, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Irena Hovhannisyan, FNP
## Practice location
- **Address:** 3974 AMBOY RD STE 302, Staten Island, NY 10308-2414
- **Phone:** (718) 967-1071
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1558232108) · Data from the CMS NPPES public registry.