MS. LUSINE TATEVOSYAN PA
NPI 1629169768
Physician Assistant in Teaneck, NJ

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
718 TEANECK RD, TEANECK, NJ 07666(201) 833-3000(201) 227-6207 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Lusine Tatevosyan Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LUSINE TATEVOSYAN PA (NPI 1629169768) is an individual physician assistant in Teaneck, New Jersey, licensed in New Jersey (25MP00165700) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1629169768
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. LUSINE TATEVOSYANCredential: PA
Location Address718 TEANECK RDTeaneck, NJ 07666-4245
Mailing Address3 University Plz Ste 205Hackensack, NJ 07601-6208 · (201) 833-3599 · Fax (201) 227-6207
Fax(201) 227-6207
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 27, 2006
Last NPPES UpdateApril 3, 2025
NPPES CertifiedApril 3, 2025
NPI 1629169768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NJ · 25MP00165700
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

718 TEANECK RD, Teaneck, NJ 07666

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Lusine Tatevosyan Pa 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.

PECOS PAC ID3173524550
PECOS Enrollment IDI20070129000015
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07666 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
718 TEANECK RD
TEANECK, NJ 07666
Internal Medicine (Nephrology)
718 TEANECK RD
TEANECK, NJ 07666
Specialist
718 TEANECK RD
TEANECK, NJ 07666
Ophthalmology
718 TEANECK RD
TEANECK, NJ 07666
Urology
718 TEANECK RD
TEANECK, NJ 07666
Surgery
718 TEANECK RD
TEANECK, NJ 07666
Midwife
718 TEANECK RD
TEANECK, NJ 07666
Pharmacist
718 TEANECK RD
TEANECK, NJ 07666

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 Lusine Tatevosyan's NPI number?

The NPI number for Lusine Tatevosyan is 1629169768. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Lusine Tatevosyan located?

Lusine Tatevosyan practices at 718 Teaneck Rd, Teaneck, NJ 07666. The listed phone number is (201) 833-3000.

What is Lusine Tatevosyan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lusine Tatevosyan enrolled in Medicare?

Yes. Lusine Tatevosyan 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.

What insurance does Lusine Tatevosyan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Lusine Tatevosyan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lusine Tatevosyan affiliated with any hospitals?

According to CMS data, Lusine Tatevosyan is affiliated with Holy Name Medical Center.

When was this NPI record last updated?

The NPPES record for Lusine Tatevosyan was last updated on April 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.